| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,989 |
9,034 |
$1.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
251 |
232 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
141 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
116 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
514 |
474 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
106 |
102 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,868 |
1,198 |
$6K |
| 90461 |
|
612 |
489 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
131 |
$2K |
| 90670 |
|
95 |
94 |
$7.15 |
| 90688 |
|
24 |
19 |
$0.65 |
| 1160F |
|
78 |
74 |
$0.00 |
| 1159F |
|
79 |
74 |
$0.00 |
| 3078F |
|
15 |
13 |
$0.00 |
| 90686 |
|
33 |
30 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 3008F |
|
100 |
91 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
42 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |