| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,335 |
16,379 |
$2.40M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,723 |
1,523 |
$205K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,233 |
1,215 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
533 |
517 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
172 |
$22K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,369 |
1,223 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
548 |
485 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
28 |
28 |
$476.36 |
| 90697 |
|
204 |
201 |
$122.96 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
186 |
181 |
$80.47 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
195 |
190 |
$29.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,377 |
2,322 |
$25.68 |
| 87430 |
|
141 |
140 |
$16.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,783 |
1,733 |
$7.84 |
| 81003 |
|
222 |
169 |
$0.00 |
| 90670 |
|
973 |
955 |
$0.00 |
| 90648 |
|
228 |
227 |
$0.00 |
| 90681 |
|
199 |
199 |
$0.00 |
| 90710 |
|
142 |
137 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 87400 |
|
71 |
71 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90677 |
|
140 |
139 |
$0.00 |
| 90634 |
|
387 |
384 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$0.00 |
| 90686 |
|
163 |
161 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
14 |
14 |
$0.00 |
| 90698 |
|
207 |
207 |
$0.00 |
| 90744 |
|
53 |
53 |
$0.00 |
| 90723 |
|
51 |
50 |
$0.00 |
| 90657 |
|
47 |
47 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |