| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
69,041 |
55,880 |
$11.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,416 |
20,200 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,401 |
19,611 |
$15K |
| 90670 |
|
1,891 |
1,446 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,183 |
2,944 |
$5K |
| 90710 |
|
548 |
357 |
$4K |
| 90716 |
|
489 |
359 |
$3K |
| 90723 |
|
1,789 |
1,353 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
888 |
610 |
$2K |
| 90686 |
|
4,605 |
3,354 |
$2K |
| 90734 |
|
775 |
539 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,145 |
779 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,382 |
1,638 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,377 |
1,835 |
$2K |
| 90707 |
|
302 |
231 |
$1K |
| 90633 |
|
1,423 |
1,069 |
$1K |
| 90647 |
|
1,949 |
1,463 |
$1K |
| 90696 |
|
343 |
226 |
$1K |
| 92552 |
|
5,234 |
3,584 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
714 |
666 |
$922.09 |
| 90700 |
|
576 |
392 |
$886.22 |
| 0012A |
|
12 |
12 |
$804.00 |
| 99000 |
|
14,233 |
11,297 |
$750.31 |
| 0011A |
|
13 |
13 |
$659.88 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
286 |
258 |
$635.94 |
| 90651 |
|
641 |
457 |
$627.30 |
| 36415 |
Collection of venous blood by venipuncture |
10,699 |
8,568 |
$560.63 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,628 |
1,218 |
$434.80 |
| 96150 |
|
1,112 |
932 |
$392.70 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,486 |
982 |
$379.96 |
| 81002 |
|
11,253 |
6,897 |
$334.47 |
| 90688 |
|
116 |
96 |
$309.12 |
| 85018 |
|
8,930 |
6,524 |
$299.30 |
| 90715 |
|
461 |
341 |
$289.20 |
| 81025 |
|
1,801 |
1,388 |
$285.59 |
| 94760 |
|
867 |
568 |
$270.97 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
645 |
461 |
$203.74 |
| 99381 |
|
309 |
279 |
$134.64 |
| 96127 |
|
1,231 |
968 |
$57.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
174 |
172 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,119 |
1,109 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,005 |
921 |
$0.00 |
| 80061 |
Lipid panel |
1,587 |
1,586 |
$0.00 |
| 90461 |
|
2,375 |
2,372 |
$0.00 |
| Z6200 |
|
327 |
326 |
$0.00 |
| 59425 |
|
4,190 |
2,730 |
$0.00 |
| Z6300 |
|
327 |
326 |
$0.00 |
| 90681 |
|
527 |
492 |
$0.00 |
| 99173 |
|
7,420 |
5,358 |
$0.00 |
| Z6400 |
|
1,224 |
1,204 |
$0.00 |
| 3078F |
|
1,663 |
1,417 |
$0.00 |
| 99401 |
|
303 |
302 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,707 |
4,682 |
$0.00 |
| 86703 |
|
405 |
404 |
$0.00 |
| 86735 |
|
13 |
13 |
$0.00 |
| 82947 |
|
474 |
455 |
$0.00 |
| Z6304 |
|
159 |
159 |
$0.00 |
| 86787 |
|
13 |
13 |
$0.00 |
| Z6414 |
|
42 |
40 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
209 |
208 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
225 |
154 |
$0.00 |
| 80074 |
|
40 |
40 |
$0.00 |
| 3077F |
|
318 |
304 |
$0.00 |
| 84702 |
|
87 |
84 |
$0.00 |
| 83037 |
|
290 |
178 |
$0.00 |
| 3725F |
|
89 |
89 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
16 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$0.00 |
| 2028F |
|
27 |
27 |
$0.00 |
| 81003 |
|
36 |
28 |
$0.00 |
| 1160F |
|
153 |
139 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
14 |
$0.00 |
| 97803 |
|
81 |
79 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| Z6308 |
|
40 |
40 |
$0.00 |
| 84439 |
|
212 |
212 |
$0.00 |
| Z6208 |
|
40 |
40 |
$0.00 |
| Z6202 |
|
12 |
12 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |
| 96159 |
|
12 |
12 |
$0.00 |
| 86480 |
|
17 |
17 |
$0.00 |
| 86765 |
|
13 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,437 |
1,435 |
$0.00 |
| Z6410 |
|
818 |
785 |
$0.00 |
| 96156 |
|
1,039 |
926 |
$0.00 |
| 3074F |
|
1,897 |
1,607 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,498 |
1,046 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
552 |
540 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,104 |
1,095 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,266 |
1,266 |
$0.00 |
| 3079F |
|
715 |
682 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,213 |
1,212 |
$0.00 |
| Z1032 |
|
584 |
583 |
$0.00 |
| Z1034 |
|
5,837 |
4,014 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,347 |
1,346 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
650 |
644 |
$0.00 |
| 3008F |
|
35 |
33 |
$0.00 |
| 85027 |
|
348 |
347 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,987 |
1,754 |
$0.00 |
| 81001 |
|
184 |
184 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
129 |
129 |
$0.00 |
| 86592 |
|
691 |
686 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| Z6406 |
|
204 |
200 |
$0.00 |
| Z6204 |
|
244 |
238 |
$0.00 |
| Z6402 |
|
330 |
329 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
27 |
$0.00 |
| 3075F |
|
288 |
282 |
$0.00 |
| 80055 |
|
326 |
324 |
$0.00 |
| 3080F |
|
141 |
135 |
$0.00 |
| 86762 |
|
13 |
13 |
$0.00 |
| 82105 |
|
187 |
182 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
153 |
148 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
469 |
469 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
13 |
$0.00 |
| 87081 |
|
25 |
25 |
$0.00 |
| 88142 |
|
34 |
34 |
$0.00 |
| 90677 |
|
106 |
106 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |
| 86317 |
|
26 |
26 |
$0.00 |
| 84703 |
|
14 |
14 |
$0.00 |
| 86803 |
|
65 |
65 |
$0.00 |
| 93000 |
|
25 |
16 |
$0.00 |
| 99383 |
|
42 |
24 |
$0.00 |
| 97802 |
|
13 |
12 |
$0.00 |
| 82950 |
|
14 |
14 |
$0.00 |
| Z1038 |
|
27 |
27 |
$0.00 |
| 84436 |
|
17 |
17 |
$0.00 |