| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,778 |
3,046 |
$684K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,642 |
1,444 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
496 |
437 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
196 |
195 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
109 |
$6K |
| 87430 |
|
107 |
103 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$433.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
484 |
478 |
$154.42 |
| 90656 |
|
13 |
13 |
$144.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$138.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$13.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
401 |
373 |
$0.03 |
| 90686 |
|
15 |
15 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 90670 |
|
127 |
125 |
$0.00 |