| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,971 |
8,711 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,047 |
3,781 |
$224K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,128 |
1,125 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
439 |
439 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
268 |
$16K |
| 99381 |
|
209 |
207 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
131 |
$9K |
| 99383 |
|
68 |
67 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$3K |
| 99382 |
|
36 |
36 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
35 |
26 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$620.00 |
| 0031A |
|
32 |
19 |
$494.63 |
| 87428 |
|
257 |
244 |
$26.80 |
| 87807 |
|
161 |
155 |
$4.14 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,945 |
2,132 |
$0.33 |
| 90461 |
|
1,462 |
1,287 |
$0.06 |
| 90677 |
|
919 |
919 |
$0.00 |
| 90686 |
|
544 |
544 |
$0.00 |
| 90697 |
|
558 |
558 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
421 |
411 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
189 |
$0.00 |
| 90381 |
|
32 |
32 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
56 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 91303 |
|
20 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
386 |
374 |
$0.00 |
| 90681 |
|
442 |
442 |
$0.00 |
| 90633 |
|
235 |
235 |
$0.00 |
| 90648 |
|
54 |
54 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
209 |
$0.00 |
| 90710 |
|
43 |
43 |
$0.00 |
| 90380 |
|
16 |
15 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90715 |
|
17 |
17 |
$0.00 |
| 90734 |
|
21 |
21 |
$0.00 |