| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,438 |
23,957 |
$5.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,552 |
8,818 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,163 |
2,573 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
231 |
219 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,224 |
2,020 |
$4K |
| 90686 |
|
695 |
648 |
$3K |
| 99215 |
Prolong outpt/office vis |
127 |
94 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
226 |
$144.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
198 |
187 |
$129.62 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
37 |
$86.62 |
| 87428 |
|
610 |
545 |
$44.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
49 |
$42.56 |
| 90656 |
|
16 |
15 |
$21.51 |
| 81003 |
|
105 |
73 |
$5.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
88 |
68 |
$0.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
264 |
244 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 90648 |
|
14 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
40 |
$0.00 |