| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,652 |
4,516 |
$650K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,436 |
10,011 |
$410K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,682 |
3,450 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
605 |
594 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
445 |
424 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
623 |
604 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
462 |
455 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
84 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
348 |
323 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
219 |
214 |
$7K |
| 90461 |
|
218 |
213 |
$6K |
| 99442 |
|
38 |
36 |
$2K |
| 99441 |
|
38 |
38 |
$1K |
| 90686 |
|
381 |
373 |
$900.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$520.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
50 |
$261.96 |
| 0071A |
|
12 |
12 |
$261.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
40 |
$221.96 |
| 96127 |
|
15 |
12 |
$118.72 |
| 90670 |
|
124 |
120 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90698 |
|
13 |
12 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |