| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,452 |
29,360 |
$3.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,833 |
16,577 |
$676K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,438 |
5,156 |
$363K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,119 |
4,844 |
$325K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,530 |
2,429 |
$171K |
| 99381 |
|
1,318 |
1,252 |
$106K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,441 |
3,299 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,713 |
2,452 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
629 |
612 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,538 |
3,122 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,274 |
7,727 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
477 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,366 |
2,259 |
$17K |
| 87807 |
|
1,455 |
1,367 |
$9K |
| 88720 |
|
1,283 |
1,033 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$2K |
| 99383 |
|
34 |
29 |
$2K |
| 92552 |
|
1,022 |
991 |
$490.28 |
| 90619 |
|
46 |
42 |
$381.92 |
| 81003 |
|
396 |
366 |
$378.88 |
| 97803 |
|
739 |
548 |
$104.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,849 |
1,785 |
$38.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,889 |
5,517 |
$14.17 |
| 96160 |
|
33 |
32 |
$13.52 |
| 90461 |
|
1,324 |
1,292 |
$0.77 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,569 |
4,288 |
$0.17 |
| 96161 |
|
15 |
14 |
$0.09 |
| 90474 |
|
1,303 |
1,261 |
$0.06 |
| 90670 |
|
2,913 |
2,758 |
$0.01 |
| 90715 |
|
153 |
145 |
$0.00 |
| 90681 |
|
1,814 |
1,752 |
$0.00 |
| 99173 |
|
1,105 |
1,062 |
$0.00 |
| 90710 |
|
1,748 |
1,664 |
$0.00 |
| 4120F |
|
3,591 |
3,406 |
$0.00 |
| 90633 |
|
1,924 |
1,843 |
$0.00 |
| 90700 |
|
510 |
492 |
$0.00 |
| 3028F |
|
2,450 |
1,828 |
$0.00 |
| 90648 |
|
1,443 |
1,350 |
$0.00 |
| 4124F |
|
1,164 |
1,117 |
$0.00 |
| 3210F |
|
16 |
16 |
$0.00 |
| 90734 |
|
124 |
120 |
$0.00 |
| 90473 |
|
18 |
18 |
$0.00 |
| 90723 |
|
941 |
880 |
$0.00 |
| 3008F |
|
3,667 |
2,627 |
$0.00 |
| 90698 |
|
837 |
817 |
$0.00 |
| 90696 |
|
531 |
512 |
$0.00 |
| 90697 |
|
1,448 |
1,413 |
$0.00 |
| 2010F |
|
3,001 |
2,193 |
$0.00 |
| 90686 |
|
303 |
285 |
$0.00 |
| 90677 |
|
1,179 |
1,145 |
$0.00 |
| 90651 |
|
159 |
158 |
$0.00 |
| 2000F |
|
1,810 |
1,400 |
$0.00 |
| 96127 |
|
29 |
24 |
$0.00 |
| 97802 |
|
42 |
30 |
$0.00 |
| 4140F |
|
20 |
15 |
$0.00 |
| 36416 |
|
49 |
45 |
$0.00 |