| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,394 |
14,416 |
$2.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,340 |
6,487 |
$241K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,719 |
1,560 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,772 |
1,578 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,602 |
1,386 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,221 |
1,124 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
689 |
656 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
832 |
751 |
$21K |
| 99000 |
|
3,340 |
2,996 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
471 |
464 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,320 |
1,960 |
$9K |
| 87428 |
|
533 |
521 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
882 |
858 |
$6K |
| 99381 |
|
71 |
61 |
$4K |
| 99383 |
|
49 |
43 |
$3K |
| 90619 |
|
105 |
104 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
51 |
$3K |
| 99384 |
|
21 |
17 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
151 |
$924.10 |
| 90620 |
|
105 |
101 |
$430.50 |
| 92551 |
|
1,913 |
1,713 |
$319.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
64 |
39 |
$203.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,675 |
4,226 |
$102.04 |
| 90461 |
|
57 |
48 |
$73.81 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,420 |
2,671 |
$67.80 |
| 81002 |
|
31 |
28 |
$46.72 |
| 90648 |
|
408 |
373 |
$0.00 |
| 90734 |
|
403 |
350 |
$0.00 |
| 90670 |
|
943 |
868 |
$0.00 |
| 99173 |
|
2,447 |
2,178 |
$0.00 |
| 3725F |
|
84 |
80 |
$0.00 |
| 96160 |
|
94 |
84 |
$0.00 |
| 90710 |
|
232 |
221 |
$0.00 |
| 90633 |
|
711 |
655 |
$0.00 |
| 90715 |
|
178 |
167 |
$0.00 |
| 90707 |
|
66 |
62 |
$0.00 |
| 3078F |
|
219 |
204 |
$0.00 |
| 90700 |
|
25 |
24 |
$0.00 |
| 90473 |
|
48 |
48 |
$0.00 |
| 90656 |
|
58 |
56 |
$0.00 |
| 90651 |
|
714 |
655 |
$0.00 |
| 1125F |
|
18 |
18 |
$0.00 |
| 90680 |
|
542 |
489 |
$0.00 |
| 90698 |
|
270 |
245 |
$0.00 |
| 90723 |
|
297 |
264 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,162 |
1,040 |
$0.00 |
| 90677 |
|
210 |
200 |
$0.00 |
| 90697 |
|
190 |
183 |
$0.00 |
| 36416 |
|
746 |
625 |
$0.00 |
| 90686 |
|
1,952 |
1,761 |
$0.00 |
| 90696 |
|
153 |
146 |
$0.00 |
| 90716 |
|
106 |
100 |
$0.00 |
| 96127 |
|
73 |
69 |
$0.00 |
| 90744 |
|
60 |
56 |
$0.00 |
| 3008F |
|
361 |
332 |
$0.00 |
| 3074F |
|
236 |
217 |
$0.00 |
| 96161 |
|
14 |
14 |
$0.00 |
| 90474 |
|
40 |
38 |
$0.00 |
| 1126F |
|
115 |
101 |
$0.00 |