| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,933 |
7,911 |
$661K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,371 |
2,986 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,082 |
1,837 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,320 |
1,283 |
$31K |
| 99441 |
|
1,177 |
1,024 |
$16K |
| 87428 |
|
160 |
151 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
337 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
674 |
320 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
106 |
$8K |
| 90461 |
|
231 |
222 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
79 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
129 |
111 |
$6K |
| 81003 |
|
2,613 |
1,945 |
$6K |
| 85018 |
|
2,302 |
2,213 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$4K |
| 90686 |
|
541 |
534 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 90651 |
|
16 |
14 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
194 |
192 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
161 |
$974.34 |
| 81025 |
|
110 |
93 |
$678.91 |
| 36415 |
Collection of venous blood by venipuncture |
528 |
501 |
$657.72 |
| 80061 |
Lipid panel |
126 |
124 |
$618.21 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
115 |
106 |
$551.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
133 |
$497.48 |
| 99442 |
|
15 |
15 |
$402.11 |
| 90682 |
|
13 |
13 |
$276.42 |
| 82947 |
|
103 |
92 |
$242.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$184.08 |
| 87210 |
|
16 |
13 |
$75.35 |
| 90633 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |