| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,262 |
15,543 |
$4.33M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,863 |
4,676 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,359 |
4,665 |
$268.51 |
| 99383 |
|
191 |
143 |
$240.18 |
| 99381 |
|
63 |
63 |
$163.18 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,937 |
1,743 |
$146.54 |
| 99384 |
|
86 |
79 |
$100.18 |
| 99382 |
|
30 |
28 |
$85.24 |
| 0001A |
|
43 |
42 |
$83.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
51 |
$75.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
144 |
101 |
$52.38 |
| 90698 |
|
475 |
454 |
$3.60 |
| 90670 |
|
561 |
528 |
$3.60 |
| 90686 |
|
814 |
770 |
$1.80 |
| 3008F |
|
3,277 |
2,677 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,681 |
1,573 |
$0.00 |
| 0072A |
|
81 |
79 |
$0.00 |
| 90680 |
|
397 |
378 |
$0.00 |
| 96127 |
|
186 |
184 |
$0.00 |
| 90697 |
|
85 |
84 |
$0.00 |
| 90677 |
|
71 |
71 |
$0.00 |
| 91307 |
|
100 |
94 |
$0.00 |
| 90656 |
|
43 |
42 |
$0.00 |
| 90744 |
|
188 |
179 |
$0.00 |
| 99000 |
|
56 |
55 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |
| 90651 |
|
120 |
115 |
$0.00 |
| 90688 |
|
21 |
20 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
492 |
487 |
$0.00 |
| 90671 |
|
170 |
169 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,516 |
1,415 |
$0.00 |
| 90461 |
|
1,415 |
1,377 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,122 |
1,095 |
$0.00 |
| 90633 |
|
155 |
151 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
72 |
$0.00 |
| 0071A |
|
68 |
65 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
52 |
$0.00 |
| 0002A |
|
45 |
42 |
$0.00 |
| 81002 |
|
15 |
14 |
$0.00 |
| 90707 |
|
18 |
18 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
15 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 91300 |
|
19 |
17 |
$0.00 |