| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,802 |
31,449 |
$3.68M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,919 |
1,883 |
$162K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,612 |
1,576 |
$138K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,663 |
1,606 |
$125K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
859 |
835 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,995 |
1,419 |
$11K |
| 99381 |
|
123 |
118 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
71 |
$6K |
| 97169 |
|
120 |
118 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
247 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,623 |
1,331 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
846 |
839 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,053 |
528 |
$2K |
| 90461 |
|
1,417 |
1,133 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,184 |
2,128 |
$13.89 |
| 90651 |
|
366 |
357 |
$0.08 |
| 99051 |
|
328 |
303 |
$0.00 |
| 90670 |
|
801 |
794 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,076 |
1,026 |
$0.00 |
| 90707 |
|
516 |
506 |
$0.00 |
| 90715 |
|
251 |
246 |
$0.00 |
| 81002 |
|
619 |
585 |
$0.00 |
| 90700 |
|
155 |
155 |
$0.00 |
| 90633 |
|
497 |
493 |
$0.00 |
| 90681 |
|
185 |
184 |
$0.00 |
| 90734 |
|
373 |
367 |
$0.00 |
| 90648 |
|
271 |
270 |
$0.00 |
| 90658 |
|
205 |
202 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90680 |
|
288 |
283 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
588 |
552 |
$0.00 |
| 90698 |
|
106 |
104 |
$0.00 |
| 90723 |
|
31 |
30 |
$0.00 |
| 90697 |
|
336 |
331 |
$0.00 |
| 87807 |
|
88 |
88 |
$0.00 |
| 90716 |
|
521 |
510 |
$0.00 |
| 90696 |
|
251 |
241 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
662 |
615 |
$0.00 |
| 99050 |
|
24 |
24 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
37 |
37 |
$0.00 |