| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,673 |
21,810 |
$5.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,165 |
9,251 |
$384K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,758 |
2,722 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,811 |
2,780 |
$111K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,062 |
2,030 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,993 |
1,951 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,191 |
1,122 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
136 |
$6K |
| 99383 |
|
157 |
157 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
133 |
$6K |
| 99381 |
|
114 |
114 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,747 |
8,483 |
$3K |
| 99384 |
|
59 |
59 |
$3K |
| 90670 |
|
1,190 |
1,169 |
$292.80 |
| 90461 |
|
4,336 |
3,554 |
$230.85 |
| 90686 |
|
4,431 |
4,401 |
$219.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,172 |
1,138 |
$198.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,062 |
1,998 |
$198.52 |
| 90651 |
|
1,104 |
1,091 |
$146.40 |
| 90633 |
|
1,097 |
1,078 |
$73.20 |
| 90648 |
|
1,294 |
1,280 |
$73.20 |
| 87428 |
|
661 |
645 |
$30.95 |
| 90710 |
|
384 |
379 |
$11.20 |
| 87807 |
|
222 |
214 |
$0.20 |
| 90620 |
|
105 |
105 |
$0.02 |
| 90734 |
|
912 |
899 |
$0.00 |
| 90715 |
|
406 |
403 |
$0.00 |
| 90681 |
|
290 |
290 |
$0.00 |
| 90707 |
|
257 |
254 |
$0.00 |
| 90700 |
|
296 |
294 |
$0.00 |
| 90671 |
|
187 |
187 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
400 |
392 |
$0.00 |
| 90716 |
|
270 |
265 |
$0.00 |
| 90723 |
|
824 |
813 |
$0.00 |
| 90698 |
|
184 |
182 |
$0.00 |
| 90696 |
|
325 |
321 |
$0.00 |
| 90680 |
|
793 |
778 |
$0.00 |
| 90677 |
|
477 |
477 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |