| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,251 |
10,081 |
$992K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
795 |
697 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
588 |
576 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
150 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,364 |
1,233 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
31 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
221 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,144 |
1,259 |
$839.66 |
| 90670 |
|
357 |
342 |
$194.19 |
| 90461 |
|
1,031 |
858 |
$155.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$0.00 |
| 90710 |
|
28 |
28 |
$0.00 |
| 81003 |
|
122 |
73 |
$0.00 |
| 90633 |
|
77 |
77 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
126 |
123 |
$0.00 |
| 90680 |
|
146 |
139 |
$0.00 |
| 90677 |
|
53 |
52 |
$0.00 |
| 90698 |
|
45 |
43 |
$0.00 |
| 90686 |
|
20 |
19 |
$0.00 |