| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,584 |
6,692 |
$2.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,636 |
3,010 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,639 |
1,274 |
$178.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,472 |
1,986 |
$103.08 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
449 |
402 |
$77.93 |
| 90688 |
|
652 |
445 |
$67.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
593 |
522 |
$67.02 |
| 90715 |
|
115 |
100 |
$60.52 |
| 99051 |
|
326 |
270 |
$41.64 |
| 90686 |
|
697 |
584 |
$0.00 |
| 1220F |
|
326 |
288 |
$0.00 |
| 90716 |
|
180 |
162 |
$0.00 |
| 90723 |
|
217 |
200 |
$0.00 |
| 90647 |
|
296 |
275 |
$0.00 |
| 96154 |
|
99 |
92 |
$0.00 |
| 90651 |
|
111 |
92 |
$0.00 |
| 90474 |
|
58 |
51 |
$0.00 |
| 90696 |
|
35 |
33 |
$0.00 |
| 1036F |
|
575 |
456 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
65 |
46 |
$0.00 |
| 92551 |
|
195 |
159 |
$0.00 |
| 1125F |
|
120 |
102 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
16 |
$0.00 |
| 1126F |
|
54 |
48 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$0.00 |
| 82962 |
|
13 |
12 |
$0.00 |
| 90620 |
|
16 |
12 |
$0.00 |
| 96127 |
|
21 |
19 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
413 |
265 |
$0.00 |
| 81003 |
|
224 |
201 |
$0.00 |
| 99173 |
|
169 |
141 |
$0.00 |
| 90707 |
|
175 |
159 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
232 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
30 |
$0.00 |
| 1003F |
|
139 |
128 |
$0.00 |
| 96152 |
|
724 |
451 |
$0.00 |
| 81002 |
|
35 |
29 |
$0.00 |
| 1159F |
|
289 |
265 |
$0.00 |
| 90670 |
|
417 |
387 |
$0.00 |
| 81025 |
|
77 |
70 |
$0.00 |
| 90700 |
|
177 |
168 |
$0.00 |
| 90681 |
|
181 |
171 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
161 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
535 |
454 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$0.00 |
| 90633 |
|
197 |
181 |
$0.00 |
| 90713 |
|
47 |
41 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
80 |
$0.00 |
| 90734 |
|
38 |
31 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$0.00 |