| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,722 |
25,022 |
$1.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,003 |
15,714 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,551 |
5,261 |
$44K |
| 90686 |
|
1,214 |
1,207 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
879 |
876 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,957 |
1,928 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
149 |
$2K |
| 90750 |
|
32 |
32 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
249 |
249 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
167 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
191 |
189 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
163 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
125 |
125 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
238 |
$914.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
675 |
666 |
$847.07 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
34 |
$820.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
328 |
312 |
$783.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
358 |
351 |
$765.66 |
| 87428 |
|
135 |
133 |
$624.06 |
| 0004A |
|
15 |
15 |
$492.05 |
| 96127 |
|
853 |
706 |
$458.15 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
51 |
$420.94 |
| 0002A |
|
21 |
20 |
$416.35 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
58 |
$263.32 |
| 90656 |
|
17 |
17 |
$223.50 |
| 81003 |
|
492 |
481 |
$108.21 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$83.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$56.28 |
| 81025 |
|
13 |
12 |
$7.13 |
| 91300 |
|
99 |
93 |
$0.00 |
| 90461 |
|
130 |
130 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
40 |
40 |
$0.00 |
| 36416 |
|
88 |
85 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |