| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,397 |
25,666 |
$2.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,268 |
7,702 |
$700.07 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,002 |
912 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,118 |
1,783 |
$0.00 |
| 99173 |
|
1,580 |
1,482 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,291 |
1,190 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,096 |
1,690 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
252 |
229 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
482 |
428 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
451 |
347 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
262 |
256 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
35 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$0.00 |
| 96160 |
|
34 |
14 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,810 |
8,592 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
245 |
237 |
$0.00 |
| 96161 |
|
233 |
186 |
$0.00 |
| 92551 |
|
1,260 |
1,187 |
$0.00 |
| 87428 |
|
58 |
57 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
12 |
$0.00 |
| 90686 |
|
51 |
37 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
31 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$0.00 |