| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,075 |
23,350 |
$19.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,077 |
11,328 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,798 |
1,606 |
$1K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
407 |
366 |
$482.26 |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
130 |
121 |
$392.52 |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,938 |
2,159 |
$149.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,747 |
1,532 |
$124.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
967 |
707 |
$113.58 |
| 95251 |
|
73 |
57 |
$88.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
919 |
765 |
$41.47 |
| 80053 |
Comprehensive metabolic panel |
1,521 |
1,412 |
$13.94 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,822 |
1,703 |
$10.25 |
| 36415 |
Collection of venous blood by venipuncture |
3,427 |
3,103 |
$3.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,439 |
2,298 |
$0.00 |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
221 |
172 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
243 |
224 |
$0.00 |
| 90686 |
|
1,001 |
946 |
$0.00 |
| 91301 |
|
198 |
197 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,219 |
874 |
$0.00 |
| 80050 |
General health panel |
94 |
86 |
$0.00 |
| 0011A |
|
274 |
252 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,195 |
2,090 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,281 |
1,163 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,621 |
2,247 |
$0.00 |
| 90619 |
|
48 |
44 |
$0.00 |
| 90480 |
|
78 |
77 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
18 |
13 |
$0.00 |
| 95250 |
|
39 |
25 |
$0.00 |
| 90656 |
|
95 |
92 |
$0.00 |
| 90620 |
|
64 |
58 |
$0.00 |
| 0134A |
|
91 |
89 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
255 |
244 |
$0.00 |
| 90697 |
|
15 |
13 |
$0.00 |
| 90651 |
|
86 |
80 |
$0.00 |
| 97804 |
|
116 |
67 |
$0.00 |
| 0001A |
|
225 |
202 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$0.00 |
| 0064A |
|
176 |
157 |
$0.00 |
| E1399 |
Durable medical equipment, miscellaneous |
85 |
70 |
$0.00 |
| 0012A |
|
270 |
234 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 90674 |
|
190 |
185 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| 0072A |
|
44 |
41 |
$0.00 |
| 97803 |
|
279 |
202 |
$0.00 |
| 90461 |
|
190 |
163 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
388 |
363 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
234 |
211 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
492 |
432 |
$0.00 |
| 80061 |
Lipid panel |
1,445 |
1,374 |
$0.00 |
| 99091 |
|
27 |
24 |
$0.00 |
| 81003 |
|
876 |
803 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
807 |
502 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
594 |
469 |
$0.00 |
| 99072 |
|
6,424 |
3,842 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
792 |
708 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
244 |
76 |
$0.00 |
| 81025 |
|
46 |
43 |
$0.00 |
| 0124A |
|
87 |
87 |
$0.00 |
| 0071A |
|
66 |
65 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
475 |
439 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
211 |
197 |
$0.00 |
| 99173 |
|
349 |
326 |
$0.00 |
| 90710 |
|
32 |
28 |
$0.00 |
| 0004A |
|
211 |
186 |
$0.00 |
| 86328 |
|
18 |
18 |
$0.00 |
| 87634 |
|
68 |
55 |
$0.00 |
| 90633 |
|
20 |
17 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
120 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
200 |
$0.00 |
| 0002A |
|
202 |
186 |
$0.00 |
| 91322 |
|
63 |
62 |
$0.00 |
| 90715 |
|
50 |
47 |
$0.00 |
| 90734 |
|
43 |
40 |
$0.00 |
| 90670 |
|
14 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
14 |
$0.00 |