| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,774 |
7,815 |
$1.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,674 |
3,053 |
$185.73 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
396 |
335 |
$5.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,421 |
2,000 |
$5.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
466 |
392 |
$0.00 |
| 90648 |
|
38 |
28 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
330 |
270 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
188 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
135 |
$0.00 |
| 90734 |
|
30 |
29 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
380 |
311 |
$0.00 |
| 90670 |
|
19 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
50 |
$0.00 |
| 90658 |
|
16 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
729 |
619 |
$0.00 |
| 96127 |
|
609 |
484 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 90677 |
|
40 |
31 |
$0.00 |
| 3008F |
|
435 |
415 |
$0.00 |
| 90686 |
|
101 |
64 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
71 |
55 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
26 |
$0.00 |
| 90723 |
|
17 |
14 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |