| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,443 |
4,187 |
$838K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,979 |
2,411 |
$30K |
| D9999 |
Unspecified adjunctive procedure, by report |
94 |
85 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
372 |
326 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
862 |
760 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
75 |
$2K |
| 90686 |
|
149 |
142 |
$741.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
24 |
$222.99 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
15 |
$138.00 |
| 3008F |
|
1,028 |
882 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
60 |
38 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
119 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
71 |
70 |
$0.00 |
| 90656 |
|
20 |
19 |
$0.00 |
| 90620 |
|
14 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
42 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
48 |
46 |
$0.00 |
| 90688 |
|
55 |
34 |
$0.00 |
| 87807 |
|
17 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
58 |
$0.00 |
| 99173 |
|
121 |
115 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
159 |
124 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
372 |
260 |
$0.00 |
| 81003 |
|
42 |
39 |
$0.00 |
| D1120 |
Prophylaxis - child |
56 |
55 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |