| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,908 |
18,583 |
$1.79M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,130 |
2,086 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,144 |
2,091 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,989 |
1,962 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,637 |
1,605 |
$136K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,449 |
1,430 |
$121K |
| 99381 |
|
173 |
171 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
796 |
753 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
120 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$966.81 |
| 90648 |
|
1,057 |
1,047 |
$330.27 |
| 90633 |
|
725 |
709 |
$326.83 |
| 90686 |
|
213 |
207 |
$164.57 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,401 |
3,683 |
$88.86 |
| 90670 |
|
1,292 |
1,273 |
$81.99 |
| 90723 |
|
622 |
616 |
$81.99 |
| 90680 |
|
309 |
305 |
$81.99 |
| 99310 |
Prolong nursin fac eval 15m |
15 |
15 |
$0.30 |
| 90734 |
|
376 |
374 |
$0.00 |
| 90710 |
|
634 |
628 |
$0.00 |
| 90461 |
|
2,995 |
2,536 |
$0.00 |
| 90715 |
|
114 |
113 |
$0.00 |
| 90700 |
|
127 |
127 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
40 |
$0.00 |
| 90696 |
|
109 |
109 |
$0.00 |
| 90677 |
|
144 |
144 |
$0.00 |
| 90688 |
|
131 |
129 |
$0.00 |
| 90620 |
|
27 |
26 |
$0.00 |
| 90698 |
|
83 |
79 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$0.00 |