| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,331 |
8,081 |
$831K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,818 |
2,187 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,123 |
1,761 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
443 |
332 |
$655.75 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$115.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
76 |
$111.20 |
| 90686 |
|
15 |
12 |
$97.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
13 |
$95.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
373 |
304 |
$95.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
144 |
$76.44 |
| 87430 |
|
36 |
34 |
$55.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$11.12 |
| 81003 |
|
43 |
40 |
$6.90 |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,107 |
2,829 |
$0.00 |
| 99462 |
|
31 |
14 |
$0.00 |
| 82962 |
|
15 |
13 |
$0.00 |