| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,383 |
10,872 |
$722K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,154 |
3,881 |
$245K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,234 |
1,196 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,269 |
1,224 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,042 |
1,026 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
613 |
602 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
543 |
538 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
334 |
325 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
525 |
430 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
117 |
115 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
390 |
353 |
$5K |
| 90461 |
|
192 |
173 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
252 |
$3K |
| 90686 |
|
233 |
224 |
$2K |
| 92551 |
|
285 |
257 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
84 |
$513.87 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$435.80 |
| 81003 |
|
136 |
132 |
$275.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$33.48 |
| 90670 |
|
139 |
119 |
$15.83 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90647 |
|
27 |
25 |
$0.00 |
| 90662 |
|
14 |
13 |
$0.00 |
| 90734 |
|
29 |
27 |
$0.00 |