| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,084 |
19,392 |
$1.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,900 |
5,458 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,623 |
7,038 |
$22K |
| 90670 |
|
178 |
178 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,711 |
1,551 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
498 |
498 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
829 |
811 |
$5K |
| 90686 |
|
335 |
335 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
285 |
282 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
290 |
290 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,448 |
1,434 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
694 |
694 |
$1K |
| 90671 |
|
132 |
132 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
173 |
172 |
$964.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
88 |
$329.60 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
149 |
148 |
$269.67 |
| 90688 |
|
64 |
60 |
$214.08 |
| 36415 |
Collection of venous blood by venipuncture |
428 |
406 |
$199.20 |
| 20610 |
|
87 |
62 |
$185.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
31 |
$137.10 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
112 |
89 |
$123.11 |
| 99215 |
Prolong outpt/office vis |
57 |
55 |
$104.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
65 |
$30.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
101 |
$27.38 |
| 81003 |
|
190 |
182 |
$22.82 |
| 90474 |
|
13 |
13 |
$3.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90648 |
|
232 |
232 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
30 |
30 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90680 |
|
53 |
53 |
$0.00 |
| 90723 |
|
43 |
43 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |