| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,833 |
49,936 |
$5.55M |
| 90686 |
|
561 |
426 |
$435.61 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,668 |
26,303 |
$236.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
733 |
481 |
$89.27 |
| 0502F |
|
6,752 |
2,885 |
$88.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,536 |
6,857 |
$72.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,123 |
4,476 |
$0.00 |
| 90715 |
|
74 |
64 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,874 |
1,570 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,318 |
967 |
$0.00 |
| 59025 |
Fetal non-stress test |
2,443 |
862 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
875 |
722 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
669 |
586 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,071 |
929 |
$0.00 |
| 81025 |
|
354 |
283 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
449 |
398 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,280 |
1,806 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
167 |
163 |
$0.00 |
| 86756 |
|
158 |
124 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
82 |
74 |
$0.00 |
| 81002 |
|
775 |
656 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
77 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
649 |
469 |
$0.00 |
| 0503F |
|
92 |
83 |
$0.00 |
| 90656 |
|
33 |
32 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
98 |
67 |
$0.00 |
| 0500F |
|
69 |
67 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
44 |
30 |
$0.00 |