| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,955 |
6,405 |
$598K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,596 |
2,875 |
$85.05 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,930 |
1,688 |
$85.00 |
| 90686 |
|
29 |
15 |
$57.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
234 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
15 |
$0.00 |