| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,060 |
18,543 |
$2.09M |
| 99199 |
Unlisted special service, procedure or report |
52,230 |
50,944 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,281 |
4,212 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,558 |
1,304 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
683 |
583 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
392 |
293 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
428 |
255 |
$4K |
| 87428 |
|
46 |
46 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
172 |
$2K |
| 87430 |
|
103 |
87 |
$923.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
39 |
$531.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
27 |
$380.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
29 |
$309.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
30 |
$297.17 |
| 90686 |
|
56 |
55 |
$215.02 |
| 90688 |
|
27 |
24 |
$87.55 |
| 81000 |
|
14 |
13 |
$40.74 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
32 |
$0.00 |
| 99484 |
|
17 |
17 |
$0.00 |
| 96127 |
|
13 |
12 |
$0.00 |