| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,592 |
28,012 |
$3.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,968 |
20,121 |
$496.28 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,385 |
1,134 |
$71.16 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,469 |
3,718 |
$60.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,474 |
3,513 |
$29.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,779 |
2,198 |
$18.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,269 |
2,568 |
$10.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
746 |
574 |
$8.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
729 |
571 |
$0.00 |
| 90633 |
|
417 |
330 |
$0.00 |
| 90734 |
|
100 |
93 |
$0.00 |
| 99173 |
|
2,576 |
2,005 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
811 |
642 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
571 |
465 |
$0.00 |
| 90670 |
|
932 |
758 |
$0.00 |
| 81003 |
|
2,227 |
1,632 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
842 |
713 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
169 |
$0.00 |
| 90648 |
|
256 |
203 |
$0.00 |
| 90685 |
|
21 |
13 |
$0.00 |
| 96160 |
|
1,602 |
1,346 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$0.00 |
| 90700 |
|
37 |
25 |
$0.00 |
| 91300 |
|
97 |
26 |
$0.00 |
| 81025 |
|
15 |
12 |
$0.00 |
| 90671 |
|
15 |
13 |
$0.00 |
| 85018 |
|
1,118 |
758 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
289 |
266 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
296 |
250 |
$0.00 |
| 92551 |
|
2,656 |
2,071 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
933 |
760 |
$0.00 |
| 90686 |
|
1,255 |
1,037 |
$0.00 |
| 90651 |
|
290 |
239 |
$0.00 |
| 90698 |
|
77 |
65 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
725 |
588 |
$0.00 |
| 90680 |
|
238 |
193 |
$0.00 |
| 90474 |
|
229 |
181 |
$0.00 |
| 90723 |
|
79 |
59 |
$0.00 |
| 96161 |
|
87 |
62 |
$0.00 |
| 90744 |
|
16 |
14 |
$0.00 |
| 90656 |
|
51 |
33 |
$0.00 |
| 91307 |
|
36 |
12 |
$0.00 |
| 99381 |
|
15 |
12 |
$0.00 |