| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,834 |
7,299 |
$1.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,016 |
6,127 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,143 |
2,935 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,385 |
1,384 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
975 |
953 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,199 |
1,199 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
651 |
648 |
$10K |
| 92551 |
|
2,504 |
2,497 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,302 |
1,297 |
$6K |
| 99173 |
|
2,256 |
2,250 |
$4K |
| 90671 |
|
129 |
129 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
23 |
$1K |
| 90686 |
|
82 |
52 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
351 |
339 |
$924.21 |
| 90734 |
|
13 |
13 |
$844.65 |
| 83655 |
|
211 |
210 |
$672.44 |
| 99441 |
|
17 |
17 |
$640.00 |
| 90380 |
|
13 |
13 |
$581.90 |
| 90688 |
|
126 |
125 |
$539.00 |
| 90674 |
|
52 |
52 |
$479.65 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$370.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
88 |
$315.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$209.55 |
| 90633 |
|
13 |
13 |
$143.00 |
| 96161 |
|
208 |
206 |
$57.45 |
| 96160 |
|
393 |
391 |
$53.62 |
| 85018 |
|
136 |
136 |
$53.25 |
| 96127 |
|
420 |
418 |
$52.80 |
| 90461 |
|
766 |
763 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,264 |
1,247 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90473 |
|
76 |
76 |
$0.00 |
| 90648 |
|
161 |
161 |
$0.00 |
| 81002 |
|
26 |
25 |
$0.00 |
| 3078F |
|
22 |
22 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
43 |
$0.00 |
| 3725F |
|
31 |
31 |
$0.00 |
| 3074F |
|
21 |
21 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
51 |
51 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
57 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 90723 |
|
69 |
69 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$0.00 |