| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
71,605 |
48,636 |
$5.75M |
| 99051 |
|
924 |
809 |
$12K |
| 99050 |
|
522 |
406 |
$7K |
| 99499 |
|
205 |
74 |
$642.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$390.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,522 |
28,265 |
$137.97 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,300 |
1,560 |
$41.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,427 |
12,260 |
$0.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,479 |
7,800 |
$0.00 |
| 99381 |
|
32 |
25 |
$0.00 |
| 90651 |
|
976 |
837 |
$0.00 |
| 97802 |
|
1,888 |
1,474 |
$0.00 |
| 90686 |
|
2,568 |
2,143 |
$0.00 |
| 92551 |
|
4,385 |
3,401 |
$0.00 |
| 90619 |
|
291 |
265 |
$0.00 |
| 85018 |
|
854 |
559 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,390 |
1,159 |
$0.00 |
| 90697 |
|
319 |
303 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,830 |
1,481 |
$0.00 |
| 90723 |
|
50 |
31 |
$0.00 |
| 90474 |
|
214 |
186 |
$0.00 |
| 90698 |
|
230 |
170 |
$0.00 |
| 90716 |
|
39 |
37 |
$0.00 |
| 90696 |
|
38 |
33 |
$0.00 |
| 87807 |
|
270 |
236 |
$0.00 |
| 96161 |
|
104 |
101 |
$0.00 |
| 90744 |
|
145 |
119 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,045 |
856 |
$0.00 |
| 90660 |
|
218 |
171 |
$0.00 |
| 96127 |
|
44 |
33 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
15 |
$0.00 |
| 90633 |
|
1,001 |
808 |
$0.00 |
| 90473 |
|
275 |
225 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,287 |
4,280 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,053 |
3,324 |
$0.00 |
| 90734 |
|
451 |
401 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,075 |
3,384 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,383 |
2,021 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
975 |
709 |
$0.00 |
| 99173 |
|
5,103 |
4,051 |
$0.00 |
| 90648 |
|
469 |
338 |
$0.00 |
| 90671 |
|
326 |
295 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,065 |
4,190 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,772 |
2,758 |
$0.00 |
| 90670 |
|
1,791 |
1,486 |
$0.00 |
| 90681 |
|
166 |
151 |
$0.00 |
| 90700 |
|
152 |
140 |
$0.00 |
| 90710 |
|
355 |
298 |
$0.00 |
| 83655 |
|
850 |
528 |
$0.00 |
| 90715 |
|
92 |
87 |
$0.00 |
| 96160 |
|
5,337 |
4,464 |
$0.00 |
| 97803 |
|
1,653 |
1,288 |
$0.00 |
| 90707 |
|
41 |
37 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
93 |
$0.00 |
| 81003 |
|
177 |
128 |
$0.00 |
| 90672 |
|
94 |
87 |
$0.00 |
| H2020 |
Therapeutic behavioral services, per diem |
47 |
32 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |