| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,216 |
17,086 |
$3.35M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,646 |
1,492 |
$251K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
985 |
965 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
325 |
319 |
$50K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,471 |
1,354 |
$19K |
| CP007 |
|
484 |
346 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$10K |
| 99381 |
|
26 |
26 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
135 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
208 |
$425.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
937 |
936 |
$73.26 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$22.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,790 |
1,756 |
$0.00 |
| 90697 |
|
212 |
205 |
$0.00 |
| 90677 |
|
195 |
194 |
$0.00 |
| 90474 |
|
430 |
428 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
172 |
$0.00 |
| 90680 |
|
506 |
494 |
$0.00 |
| 90698 |
|
27 |
27 |
$0.00 |
| 87428 |
|
322 |
313 |
$0.00 |
| 90686 |
|
317 |
317 |
$0.00 |
| 90723 |
|
66 |
64 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
60 |
59 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
186 |
181 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,119 |
1,073 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,281 |
1,246 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
332 |
329 |
$0.00 |
| 90670 |
|
607 |
593 |
$0.00 |
| 87400 |
|
242 |
133 |
$0.00 |
| 90648 |
|
137 |
135 |
$0.00 |
| 90710 |
|
63 |
63 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |
| 90633 |
|
65 |
65 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |