| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,006 |
16,984 |
$3.21M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
870 |
853 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
865 |
829 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
502 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
93 |
$15K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
107 |
107 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,493 |
5,397 |
$604.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,963 |
5,270 |
$383.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
143 |
133 |
$147.62 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
268 |
259 |
$136.09 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
832 |
805 |
$89.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
14 |
$32.00 |
| 81002 |
|
37 |
36 |
$3.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,928 |
1,896 |
$0.00 |
| 90723 |
|
192 |
185 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
56 |
$0.00 |
| 96127 |
|
47 |
46 |
$0.00 |
| 92551 |
|
95 |
94 |
$0.00 |
| 90677 |
|
110 |
110 |
$0.00 |
| 90474 |
|
116 |
109 |
$0.00 |
| 87807 |
|
39 |
39 |
$0.00 |
| 90647 |
|
60 |
58 |
$0.00 |
| 90698 |
|
26 |
25 |
$0.00 |
| 90686 |
|
46 |
46 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
40 |
$0.00 |
| 90648 |
|
69 |
68 |
$0.00 |
| 90633 |
|
143 |
140 |
$0.00 |
| 90670 |
|
716 |
704 |
$0.00 |
| 99173 |
|
95 |
94 |
$0.00 |
| 90461 |
|
151 |
103 |
$0.00 |
| 90710 |
|
174 |
171 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,168 |
1,310 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
615 |
602 |
$0.00 |
| 90681 |
|
128 |
126 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
27 |
26 |
$0.00 |
| 90715 |
|
61 |
61 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
145 |
137 |
$0.00 |
| 90734 |
|
68 |
68 |
$0.00 |