| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,941 |
29,380 |
$2.91M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
484 |
402 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
288 |
211 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
86 |
68 |
$0.00 |
| 99173 |
|
267 |
161 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
157 |
$0.00 |
| 81002 |
|
434 |
284 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
68 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
47 |
40 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,561 |
9,949 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,755 |
9,059 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
567 |
422 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
25 |
25 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
12 |
$0.00 |