| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,317 |
3,002 |
$783K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,725 |
1,590 |
$12K |
| 99051 |
|
228 |
224 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
110 |
$608.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$160.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
90 |
$91.00 |
| 3078F |
|
810 |
753 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
211 |
211 |
$0.00 |
| 99173 |
|
517 |
517 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
58 |
$0.00 |
| 1159F |
|
1,203 |
1,097 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
71 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$0.00 |
| 92551 |
|
523 |
523 |
$0.00 |
| 2001F |
|
853 |
776 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 1111F |
|
630 |
561 |
$0.00 |
| 3008F |
|
844 |
771 |
$0.00 |
| 3074F |
|
857 |
790 |
$0.00 |