| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,048 |
4,210 |
$919K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,224 |
9,222 |
$176K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,948 |
8,290 |
$77K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,001 |
4,647 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,925 |
1,707 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,467 |
2,241 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
773 |
705 |
$20K |
| 90671 |
|
443 |
367 |
$19K |
| 92551 |
|
4,676 |
4,419 |
$17K |
| 90697 |
|
328 |
288 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
627 |
563 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
456 |
380 |
$9K |
| 99173 |
|
4,777 |
4,510 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,481 |
4,114 |
$6K |
| 90686 |
|
2,029 |
1,768 |
$6K |
| 90651 |
|
111 |
109 |
$2K |
| 97803 |
|
1,336 |
1,142 |
$851.61 |
| 90620 |
|
27 |
24 |
$791.75 |
| 90698 |
|
227 |
207 |
$784.57 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
52 |
$643.85 |
| 90670 |
|
547 |
497 |
$600.00 |
| 99401 |
|
143 |
141 |
$592.53 |
| 90681 |
|
146 |
140 |
$391.32 |
| 90633 |
|
484 |
440 |
$296.86 |
| 90716 |
|
42 |
29 |
$280.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
44 |
$151.83 |
| 90685 |
|
28 |
25 |
$139.75 |
| 90688 |
|
266 |
236 |
$101.76 |
| 86580 |
|
13 |
12 |
$46.83 |
| 81002 |
|
108 |
107 |
$37.61 |
| 91300 |
|
21 |
14 |
$1.00 |
| 99381 |
|
491 |
433 |
$0.00 |
| 90744 |
|
129 |
128 |
$0.00 |
| 99383 |
|
42 |
42 |
$0.00 |
| 99384 |
|
39 |
39 |
$0.00 |
| 96380 |
|
13 |
13 |
$0.00 |
| 96111 |
|
14 |
14 |
$0.00 |
| 90707 |
|
19 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |