| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,247 |
8,623 |
$741K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,499 |
4,539 |
$165K |
| 99199 |
Unlisted special service, procedure or report |
34,461 |
33,891 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
161 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
200 |
163 |
$10K |
| 99215 |
Prolong outpt/office vis |
321 |
286 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
585 |
506 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
121 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
249 |
221 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,298 |
1,101 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
64 |
$2K |
| 92551 |
|
987 |
847 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
90 |
$787.35 |
| 99173 |
|
1,052 |
905 |
$751.32 |
| 82962 |
|
60 |
56 |
$310.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$203.98 |
| 81003 |
|
47 |
41 |
$100.90 |
| 90686 |
|
139 |
92 |
$77.48 |
| 90461 |
|
47 |
44 |
$66.96 |
| 90658 |
|
173 |
169 |
$0.00 |
| 90713 |
|
13 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |