| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,190 |
32,227 |
$8.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,010 |
11,836 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,387 |
4,359 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,850 |
1,849 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,501 |
2,496 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,605 |
1,574 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,225 |
1,225 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
164 |
114 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,069 |
3,798 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
591 |
591 |
$4K |
| 87428 |
|
438 |
431 |
$2K |
| 99188 |
|
25 |
25 |
$261.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
379 |
373 |
$130.00 |
| 87807 |
|
151 |
149 |
$116.50 |
| 90474 |
|
196 |
196 |
$110.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$61.95 |
| 81025 |
|
203 |
195 |
$53.62 |
| 90661 |
|
184 |
183 |
$31.00 |
| 90686 |
|
953 |
953 |
$20.93 |
| 3074F |
|
789 |
732 |
$0.00 |
| 90651 |
|
438 |
438 |
$0.00 |
| 90647 |
|
710 |
709 |
$0.00 |
| 1111F |
|
781 |
678 |
$0.00 |
| 90723 |
|
745 |
745 |
$0.00 |
| 3008F |
|
1,138 |
1,041 |
$0.00 |
| 90674 |
|
730 |
730 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| 90677 |
|
45 |
45 |
$0.00 |
| 90620 |
|
60 |
60 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$0.00 |
| 90670 |
|
547 |
547 |
$0.00 |
| 90633 |
|
317 |
317 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
342 |
$0.00 |
| 90671 |
|
358 |
358 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
523 |
521 |
$0.00 |
| 90734 |
|
258 |
258 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
100 |
$0.00 |
| 3078F |
|
745 |
696 |
$0.00 |
| 90707 |
|
39 |
39 |
$0.00 |
| 90681 |
|
250 |
250 |
$0.00 |
| 90710 |
|
40 |
40 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$0.00 |
| 90715 |
|
54 |
54 |
$0.00 |
| 90687 |
|
22 |
22 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |