| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,734 |
7,047 |
$970K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,000 |
2,755 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
138 |
$0.00 |
| 90688 |
|
227 |
137 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |
| 96161 |
|
13 |
13 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 87807 |
|
72 |
71 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
207 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
282 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
180 |
178 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
306 |
293 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
489 |
486 |
$0.00 |
| 99173 |
|
62 |
62 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
292 |
285 |
$0.00 |
| 92552 |
|
134 |
132 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
75 |
$0.00 |
| 90461 |
|
26 |
25 |
$0.00 |
| 90670 |
|
53 |
53 |
$0.00 |