| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,818 |
10,545 |
$1.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
417 |
394 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
189 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
88 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,745 |
673 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
54 |
$5K |
| 81003 |
|
839 |
611 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
166 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
411 |
393 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
41 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
30 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
700 |
657 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
81 |
75 |
$909.44 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
276 |
263 |
$696.06 |
| 99000 |
|
259 |
235 |
$616.85 |
| 90677 |
|
44 |
44 |
$543.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
312 |
261 |
$478.70 |
| 36415 |
Collection of venous blood by venipuncture |
317 |
281 |
$350.46 |
| 90461 |
|
1,233 |
369 |
$236.23 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
29 |
$224.13 |
| 87430 |
|
29 |
29 |
$97.86 |
| 87428 |
|
15 |
15 |
$73.49 |
| 90686 |
|
85 |
78 |
$20.01 |
| 90670 |
|
126 |
111 |
$0.01 |
| 90680 |
|
28 |
25 |
$0.00 |
| 90698 |
|
46 |
38 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 96127 |
|
21 |
20 |
$0.00 |