| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,768 |
27,064 |
$2.33M |
| 99199 |
Unlisted special service, procedure or report |
59,827 |
58,629 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,908 |
2,066 |
$101K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,608 |
1,153 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
491 |
378 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,753 |
1,547 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
339 |
317 |
$17K |
| 87428 |
|
442 |
294 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
102 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
245 |
236 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
37 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
329 |
233 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
93 |
67 |
$808.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$512.63 |
| 90688 |
|
18 |
13 |
$83.35 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$35.00 |
| 92551 |
|
114 |
92 |
$19.95 |
| 99173 |
|
385 |
300 |
$14.00 |
| 3008F |
|
272 |
249 |
$0.00 |
| 96127 |
|
14 |
12 |
$0.00 |