| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,641 |
6,964 |
$825K |
| 99051 |
|
69 |
40 |
$587.32 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,322 |
4,162 |
$79.74 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
178 |
130 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,991 |
2,125 |
$0.00 |
| 99173 |
|
764 |
560 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
325 |
257 |
$0.00 |
| 97803 |
|
975 |
757 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
267 |
190 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
384 |
273 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
36 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$0.00 |
| 90670 |
|
15 |
12 |
$0.00 |
| 98960 |
|
15 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
112 |
76 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
710 |
523 |
$0.00 |
| 97802 |
|
978 |
733 |
$0.00 |
| 92551 |
|
368 |
251 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
750 |
584 |
$0.00 |
| 94760 |
|
400 |
295 |
$0.00 |
| 90686 |
|
55 |
37 |
$0.00 |