| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,449 |
7,392 |
$425K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,914 |
2,727 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,692 |
2,496 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
369 |
365 |
$1K |
| 90686 |
|
95 |
95 |
$476.59 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$305.64 |
| 36415 |
Collection of venous blood by venipuncture |
229 |
228 |
$273.06 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$207.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$181.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
28 |
$164.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
46 |
$41.07 |
| 3050F |
|
58 |
55 |
$0.00 |
| 1159F |
|
5,645 |
5,142 |
$0.00 |
| 1033F |
|
668 |
622 |
$0.00 |
| 3078F |
|
3,964 |
3,693 |
$0.00 |
| 1160F |
|
16 |
15 |
$0.00 |
| 1032F |
|
62 |
54 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
18 |
17 |
$0.00 |
| 1036F |
|
2,152 |
1,978 |
$0.00 |
| 3074F |
|
4,660 |
4,323 |
$0.00 |
| 2010F |
|
5,221 |
4,811 |
$0.00 |
| 3079F |
|
1,216 |
1,162 |
$0.00 |
| 1034F |
|
937 |
851 |
$0.00 |
| 3049F |
|
38 |
37 |
$0.00 |
| 2000F |
|
4,510 |
4,164 |
$0.00 |
| 3075F |
|
139 |
134 |
$0.00 |
| 1220F |
|
176 |
174 |
$0.00 |
| 3044F |
|
214 |
195 |
$0.00 |
| 3048F |
|
138 |
128 |
$0.00 |
| 2001F |
|
44 |
41 |
$0.00 |
| 4037F |
|
14 |
13 |
$0.00 |
| 3008F |
|
28 |
27 |
$0.00 |