| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,198 |
23,769 |
$3.18M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,088 |
962 |
$84K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,059 |
3,603 |
$82K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
636 |
584 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,777 |
2,539 |
$70K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
987 |
895 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,440 |
2,179 |
$31K |
| H1000 |
Prenatal care, at-risk assessment |
359 |
189 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,464 |
13,956 |
$19K |
| 90670 |
|
2,033 |
1,911 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,398 |
2,351 |
$15K |
| 76801 |
|
247 |
198 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,112 |
2,044 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,298 |
1,168 |
$13K |
| 90680 |
|
1,589 |
1,500 |
$12K |
| 90648 |
|
1,394 |
1,303 |
$10K |
| 90723 |
|
1,376 |
1,287 |
$10K |
| 90686 |
|
894 |
878 |
$10K |
| 90715 |
|
399 |
373 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,363 |
1,292 |
$8K |
| 87807 |
|
729 |
660 |
$8K |
| G9357 |
Post-partum screenings, evaluations and education performed |
91 |
78 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
457 |
425 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,407 |
2,977 |
$6K |
| 90633 |
|
805 |
771 |
$6K |
| 90651 |
|
319 |
300 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
947 |
903 |
$5K |
| 90710 |
|
550 |
516 |
$4K |
| 81025 |
|
1,210 |
1,119 |
$3K |
| 90697 |
|
330 |
322 |
$3K |
| 90677 |
|
294 |
281 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
327 |
294 |
$1K |
| 59025 |
Fetal non-stress test |
57 |
26 |
$1K |
| 87428 |
|
33 |
31 |
$1K |
| 90685 |
|
145 |
139 |
$1K |
| 90734 |
|
139 |
133 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$852.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,066 |
993 |
$727.40 |
| 0011A |
|
17 |
17 |
$680.00 |
| 0001A |
|
16 |
16 |
$640.00 |
| 90696 |
|
85 |
80 |
$616.00 |
| 0012A |
|
15 |
15 |
$600.00 |
| 81003 |
|
231 |
191 |
$548.30 |
| 82950 |
|
76 |
76 |
$453.70 |
| 0071A |
|
12 |
12 |
$440.00 |
| 90756 |
|
21 |
21 |
$433.01 |
| 90698 |
|
50 |
50 |
$392.00 |
| 92551 |
|
59 |
58 |
$358.00 |
| 90656 |
|
12 |
12 |
$268.20 |
| 83655 |
|
16 |
13 |
$165.00 |
| 85018 |
|
68 |
55 |
$152.28 |
| 99173 |
|
28 |
28 |
$15.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
17 |
$0.00 |
| 99462 |
|
169 |
93 |
$0.00 |
| 99460 |
|
60 |
55 |
$0.00 |