| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,669 |
18,354 |
$1.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,034 |
8,715 |
$1K |
| 90686 |
|
472 |
341 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,800 |
3,095 |
$795.48 |
| 90734 |
|
224 |
172 |
$570.72 |
| S5190 |
Wellness assessment, performed by non-physician |
143 |
112 |
$360.63 |
| 90651 |
|
58 |
40 |
$223.56 |
| 90710 |
|
43 |
27 |
$214.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$166.41 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
70 |
69 |
$142.69 |
| 90715 |
|
61 |
42 |
$70.55 |
| 90696 |
|
25 |
13 |
$53.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
65 |
$31.30 |
| 90723 |
|
17 |
12 |
$12.80 |
| 90670 |
|
40 |
31 |
$0.04 |
| 90648 |
|
41 |
31 |
$0.02 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
256 |
189 |
$0.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,399 |
991 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
14 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
202 |
192 |
$0.00 |
| 90656 |
|
33 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
434 |
182 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
325 |
251 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
45 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
85 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
270 |
219 |
$0.00 |
| 81003 |
|
15 |
14 |
$0.00 |