| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,337 |
28,108 |
$1.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,384 |
12,214 |
$51K |
| 90670 |
|
2,475 |
2,467 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,250 |
4,240 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,624 |
4,528 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,018 |
7,983 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,259 |
4,048 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,797 |
2,793 |
$14K |
| 90651 |
|
429 |
429 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,451 |
1,450 |
$8K |
| 90686 |
|
2,798 |
2,792 |
$6K |
| 90734 |
|
291 |
291 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,838 |
1,794 |
$4K |
| 90716 |
|
315 |
315 |
$4K |
| 90707 |
|
329 |
329 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,871 |
1,815 |
$2K |
| 90671 |
|
802 |
802 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
791 |
788 |
$1K |
| 0071A |
|
34 |
34 |
$946.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,045 |
1,036 |
$892.97 |
| 90480 |
|
46 |
46 |
$869.88 |
| 0072A |
|
15 |
15 |
$416.35 |
| 83655 |
|
459 |
453 |
$404.06 |
| 87428 |
|
123 |
121 |
$270.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
162 |
159 |
$231.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
263 |
162 |
$218.30 |
| 96127 |
|
672 |
578 |
$113.54 |
| 85018 |
|
622 |
614 |
$103.28 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$29.26 |
| 90473 |
|
15 |
15 |
$6.00 |
| 90710 |
|
303 |
302 |
$0.00 |
| 90633 |
|
1,508 |
1,506 |
$0.00 |
| 90461 |
|
4,840 |
4,824 |
$0.00 |
| 90715 |
|
130 |
130 |
$0.00 |
| 90648 |
|
1,562 |
1,562 |
$0.00 |
| 90700 |
|
300 |
299 |
$0.00 |
| 90685 |
|
270 |
259 |
$0.00 |
| 90672 |
|
30 |
30 |
$0.00 |
| 91300 |
|
49 |
41 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90680 |
|
2,344 |
2,335 |
$0.00 |
| 36416 |
|
561 |
553 |
$0.00 |
| 90698 |
|
1,360 |
1,352 |
$0.00 |
| 90696 |
|
301 |
300 |
$0.00 |
| 90723 |
|
1,165 |
1,165 |
$0.00 |
| 90744 |
|
951 |
943 |
$0.00 |
| 96380 |
|
14 |
14 |
$0.00 |
| 90656 |
|
242 |
242 |
$0.00 |
| 99381 |
|
44 |
44 |
$0.00 |
| 90647 |
|
41 |
40 |
$0.00 |