| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,961 |
19,990 |
$2.73M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,671 |
8,415 |
$590K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,784 |
2,547 |
$288K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,229 |
1,156 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,307 |
1,165 |
$77K |
| 99381 |
|
358 |
353 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
207 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
137 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
240 |
224 |
$10K |
| 99384 |
|
80 |
80 |
$8K |
| 99385 |
|
39 |
39 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$4K |
| 0002A |
|
89 |
86 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
76 |
45 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
109 |
109 |
$2K |
| 0001A |
|
98 |
92 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,973 |
4,466 |
$866.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,791 |
1,497 |
$83.51 |
| 90461 |
|
2,690 |
2,207 |
$72.30 |
| 90686 |
|
1,037 |
1,023 |
$18.45 |
| 90620 |
|
60 |
60 |
$0.01 |
| 90697 |
|
57 |
57 |
$0.00 |
| 96127 |
|
101 |
101 |
$0.00 |
| 90744 |
|
148 |
146 |
$0.00 |
| 90698 |
|
544 |
535 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
451 |
381 |
$0.00 |
| 90680 |
|
632 |
624 |
$0.00 |
| 90677 |
|
242 |
240 |
$0.00 |
| 92551 |
|
1,104 |
1,089 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
43 |
$0.00 |
| 90651 |
|
69 |
69 |
$0.00 |
| 90688 |
|
94 |
94 |
$0.00 |
| 90656 |
|
135 |
132 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90674 |
|
46 |
46 |
$0.00 |
| 90723 |
|
49 |
48 |
$0.00 |
| 91301 |
|
24 |
24 |
$0.00 |
| 90633 |
|
305 |
304 |
$0.00 |
| 90670 |
|
1,178 |
1,158 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$0.00 |
| 99173 |
|
794 |
788 |
$0.00 |
| 91300 |
|
215 |
184 |
$0.00 |
| 90648 |
|
203 |
201 |
$0.00 |
| 90685 |
|
163 |
161 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
29 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
73 |
$0.00 |
| 90710 |
|
62 |
62 |
$0.00 |
| 90734 |
|
34 |
34 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90687 |
|
64 |
64 |
$0.00 |
| 84030 |
|
25 |
25 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |