| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,850 |
11,380 |
$2.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,815 |
3,293 |
$375.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,983 |
4,846 |
$303.27 |
| 3008F |
|
7,628 |
4,264 |
$178.59 |
| J3490 |
Unclassified drugs |
162 |
112 |
$165.00 |
| 81025 |
|
882 |
439 |
$75.72 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
690 |
386 |
$71.16 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,014 |
495 |
$63.65 |
| 92551 |
|
703 |
382 |
$55.83 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
730 |
427 |
$53.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,202 |
1,200 |
$44.10 |
| 3044F |
|
186 |
137 |
$40.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,091 |
585 |
$18.26 |
| 99173 |
|
661 |
355 |
$11.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,454 |
784 |
$10.00 |
| 90474 |
|
175 |
68 |
$9.13 |
| 85018 |
|
733 |
406 |
$8.43 |
| 3074F |
|
7,396 |
4,071 |
$5.00 |
| 3078F |
|
6,766 |
3,670 |
$5.00 |
| 81002 |
|
705 |
373 |
$2.54 |
| 90680 |
|
91 |
28 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
117 |
81 |
$0.00 |
| 3079F |
|
1,199 |
743 |
$0.00 |
| 3075F |
|
237 |
152 |
$0.00 |
| 1036F |
|
2,023 |
973 |
$0.00 |
| 1111F |
|
480 |
293 |
$0.00 |
| 90686 |
|
479 |
269 |
$0.00 |
| 4000F |
|
125 |
61 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
83 |
38 |
$0.00 |
| 1126F |
|
299 |
147 |
$0.00 |
| 1034F |
|
350 |
158 |
$0.00 |
| 90677 |
|
111 |
77 |
$0.00 |
| 4010F |
|
291 |
195 |
$0.00 |
| 90656 |
|
120 |
95 |
$0.00 |
| 1031F |
|
105 |
48 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
45 |
$0.00 |
| 99406 |
|
68 |
39 |
$0.00 |
| 90723 |
|
39 |
13 |
$0.00 |
| 90698 |
|
16 |
15 |
$0.00 |
| 1125F |
|
26 |
16 |
$0.00 |
| 76801 |
|
30 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
500 |
267 |
$0.00 |
| 1160F |
|
12,389 |
6,875 |
$0.00 |
| 1159F |
|
13,157 |
7,155 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
145 |
87 |
$0.00 |
| 3725F |
|
2,007 |
909 |
$0.00 |
| 90648 |
|
237 |
124 |
$0.00 |
| 90670 |
|
278 |
121 |
$0.00 |
| 87400 |
|
63 |
31 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
19 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
99 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
59 |
26 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
12 |
$0.00 |
| 90633 |
|
16 |
13 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
53 |
30 |
$0.00 |
| 3016F |
|
30 |
14 |
$0.00 |