| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,687 |
5,987 |
$328K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,677 |
2,484 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,558 |
1,458 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,049 |
1,033 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
897 |
879 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
651 |
644 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
264 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,061 |
1,051 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
767 |
742 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,251 |
1,210 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
459 |
437 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
58 |
$1K |
| 81002 |
|
1,069 |
1,038 |
$1K |
| 90686 |
|
839 |
823 |
$95.70 |
| 90474 |
|
19 |
18 |
$36.00 |
| 90473 |
|
23 |
23 |
$21.00 |
| 90707 |
|
351 |
343 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
288 |
241 |
$0.00 |
| 90633 |
|
347 |
341 |
$0.00 |
| 90461 |
|
528 |
522 |
$0.00 |
| 90670 |
|
802 |
788 |
$0.00 |
| 90648 |
|
18 |
18 |
$0.00 |
| 90681 |
|
191 |
188 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
369 |
324 |
$0.00 |
| 90734 |
|
58 |
55 |
$0.00 |
| 90685 |
|
221 |
215 |
$0.00 |
| 90700 |
|
72 |
70 |
$0.00 |
| 90647 |
|
559 |
550 |
$0.00 |
| 90651 |
|
105 |
103 |
$0.00 |
| 90723 |
|
472 |
466 |
$0.00 |
| 90716 |
|
344 |
335 |
$0.00 |
| 90696 |
|
15 |
14 |
$0.00 |