| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,844 |
12,574 |
$1.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,482 |
6,032 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,606 |
2,205 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
999 |
887 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
452 |
420 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
719 |
652 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
678 |
641 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
484 |
410 |
$1K |
| 90670 |
|
139 |
137 |
$904.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
821 |
772 |
$900.72 |
| 87428 |
|
84 |
79 |
$801.15 |
| 90680 |
|
51 |
51 |
$408.00 |
| 90686 |
|
67 |
66 |
$380.00 |
| 92551 |
|
288 |
270 |
$337.25 |
| 90633 |
|
34 |
33 |
$248.00 |
| 90698 |
|
28 |
28 |
$224.00 |
| 90648 |
|
28 |
28 |
$224.00 |
| 87807 |
|
221 |
213 |
$222.40 |
| 90651 |
|
26 |
24 |
$144.00 |
| 90716 |
|
12 |
12 |
$96.00 |
| 90707 |
|
12 |
12 |
$96.00 |
| 99173 |
|
333 |
318 |
$42.80 |
| 83655 |
|
30 |
30 |
$24.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$11.90 |
| 81003 |
|
659 |
345 |
$10.60 |
| 36415 |
Collection of venous blood by venipuncture |
125 |
102 |
$5.45 |
| 85018 |
|
50 |
47 |
$2.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
27 |
$0.00 |
| 36416 |
|
16 |
13 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
12 |
$0.00 |