| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,679 |
21,465 |
$4.39M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,388 |
6,029 |
$91K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,732 |
2,923 |
$45K |
| G9001 |
Coordinated care fee, initial rate |
657 |
638 |
$25K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
269 |
261 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
472 |
465 |
$8K |
| 80061 |
Lipid panel |
102 |
99 |
$1K |
| 85018 |
|
456 |
432 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
66 |
$1K |
| 83655 |
|
52 |
51 |
$728.37 |
| 90670 |
|
302 |
293 |
$433.59 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,131 |
8,926 |
$369.37 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,112 |
3,730 |
$294.03 |
| 90686 |
|
2,002 |
1,886 |
$70.18 |
| 81003 |
|
12 |
12 |
$27.00 |
| 92558 |
|
185 |
178 |
$22.01 |
| 92551 |
|
263 |
256 |
$17.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
492 |
468 |
$10.07 |
| 90474 |
|
36 |
24 |
$0.24 |
| 90473 |
|
19 |
16 |
$0.14 |
| 90671 |
|
172 |
155 |
$0.07 |
| 90697 |
|
170 |
152 |
$0.06 |
| 99173 |
|
462 |
448 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
162 |
146 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,298 |
1,145 |
$0.00 |
| 90685 |
|
132 |
130 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,169 |
1,140 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,830 |
1,777 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
263 |
259 |
$0.00 |
| 90633 |
|
251 |
248 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
878 |
759 |
$0.00 |
| 90681 |
|
27 |
26 |
$0.00 |
| 99177 |
|
39 |
39 |
$0.00 |
| 90672 |
|
20 |
19 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 99174 |
|
403 |
394 |
$0.00 |
| 99000 |
|
213 |
206 |
$0.00 |
| 36416 |
|
816 |
750 |
$0.00 |
| 90744 |
|
99 |
98 |
$0.00 |
| 96127 |
|
353 |
338 |
$0.00 |
| 90651 |
|
66 |
62 |
$0.00 |
| 90698 |
|
199 |
196 |
$0.00 |
| 90647 |
|
21 |
21 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |