| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,283 |
5,328 |
$514K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
514 |
498 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
358 |
342 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
261 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
83 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,042 |
1,776 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,698 |
3,074 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
868 |
397 |
$441.57 |
| 92552 |
|
296 |
292 |
$369.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$65.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
48 |
$16.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
205 |
$13.89 |
| 90630 |
|
13 |
12 |
$0.06 |
| 96160 |
|
101 |
97 |
$0.00 |
| 90670 |
|
84 |
80 |
$0.00 |
| 99173 |
|
314 |
291 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
32 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90650 |
|
114 |
104 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |