| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,285 |
4,551 |
$771K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
218 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
68 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
711 |
687 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
159 |
152 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
366 |
194 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
272 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
14 |
$261.89 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
215 |
207 |
$129.83 |
| 90670 |
|
133 |
126 |
$0.00 |
| 90461 |
|
159 |
154 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
97 |
91 |
$0.00 |
| 90648 |
|
51 |
47 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90723 |
|
16 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
26 |
$0.00 |