| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,732 |
7,688 |
$1.62M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,890 |
9,873 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,103 |
6,468 |
$225K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
786 |
713 |
$7K |
| 0012A |
|
46 |
43 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,215 |
1,832 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
86 |
$953.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
76 |
$595.03 |
| 90688 |
|
32 |
30 |
$437.64 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
27 |
$401.28 |
| 0011A |
|
16 |
16 |
$294.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
135 |
$122.63 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
29 |
$117.49 |
| 81002 |
|
170 |
154 |
$19.43 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90686 |
|
104 |
88 |
$0.00 |
| 91301 |
|
42 |
41 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 96127 |
|
32 |
26 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
39 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
137 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
179 |
163 |
$0.00 |
| 90461 |
|
345 |
314 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
120 |
$0.00 |
| 90670 |
|
30 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
58 |
$0.00 |