| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,947 |
23,367 |
$2.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,419 |
15,930 |
$694.91 |
| 0011A |
|
37 |
12 |
$283.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,966 |
1,739 |
$72.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,718 |
1,408 |
$50.12 |
| 81003 |
|
546 |
473 |
$3.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
870 |
743 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,530 |
1,056 |
$0.00 |
| 90670 |
|
166 |
143 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
426 |
364 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
501 |
416 |
$0.00 |
| 90671 |
|
120 |
101 |
$0.00 |
| 81002 |
|
169 |
122 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
40 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
280 |
234 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
134 |
$0.00 |
| 80305 |
|
127 |
117 |
$0.00 |
| 90633 |
|
43 |
38 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
27 |
$0.00 |
| 81025 |
|
25 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$0.00 |
| 91300 |
|
31 |
12 |
$0.00 |
| 90710 |
|
33 |
33 |
$0.00 |
| 99173 |
|
31 |
29 |
$0.00 |
| 90734 |
|
21 |
17 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
573 |
490 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,334 |
1,132 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
147 |
117 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,060 |
1,619 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
411 |
350 |
$0.00 |
| 82962 |
|
121 |
109 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
954 |
785 |
$0.00 |
| 90698 |
|
174 |
144 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
197 |
123 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90680 |
|
28 |
26 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
42 |
$0.00 |
| 96127 |
|
18 |
14 |
$0.00 |
| 92551 |
|
31 |
29 |
$0.00 |
| 91301 |
|
44 |
14 |
$0.00 |