| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,060 |
3,654 |
$769K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
218 |
216 |
$105.00 |
| 90461 |
|
71 |
71 |
$76.00 |
| 99173 |
|
89 |
79 |
$64.00 |
| 3008F |
|
1,699 |
1,567 |
$0.01 |
| 3078F |
|
1,085 |
1,053 |
$0.00 |
| 1159F |
|
1,298 |
1,223 |
$0.00 |
| 3725F |
|
252 |
249 |
$0.00 |
| 80305 |
|
15 |
12 |
$0.00 |
| 1160F |
|
1,325 |
1,250 |
$0.00 |
| 92552 |
|
24 |
24 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 3074F |
|
1,354 |
1,307 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,066 |
1,864 |
$0.00 |
| 3075F |
|
31 |
31 |
$0.00 |
| 3079F |
|
334 |
324 |
$0.00 |
| 1036F |
|
1,033 |
986 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
545 |
$0.00 |
| 1000F |
|
74 |
13 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 92551 |
|
39 |
39 |
$0.00 |
| 1034F |
|
32 |
29 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
57 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |