| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,649 |
12,689 |
$2.58M |
| 87428 |
|
2,608 |
2,396 |
$117K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
173 |
169 |
$36K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
312 |
265 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,534 |
1,488 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
662 |
638 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
264 |
250 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
457 |
425 |
$6K |
| 90648 |
|
765 |
668 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
170 |
$4K |
| 90723 |
|
479 |
419 |
$3K |
| 90670 |
|
502 |
413 |
$3K |
| 90680 |
|
394 |
356 |
$3K |
| 99000 |
|
831 |
698 |
$2K |
| 90671 |
|
294 |
269 |
$2K |
| 90461 |
|
945 |
910 |
$2K |
| 87807 |
|
149 |
128 |
$1K |
| 90633 |
|
159 |
144 |
$1K |
| 0001A |
|
25 |
18 |
$560.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,813 |
6,689 |
$548.75 |
| 36416 |
|
296 |
276 |
$542.00 |
| 0002A |
|
24 |
15 |
$440.00 |
| 0071A |
|
19 |
14 |
$360.00 |
| 96161 |
|
710 |
617 |
$358.68 |
| 90688 |
|
53 |
28 |
$208.00 |
| 90656 |
|
13 |
13 |
$96.00 |
| 90686 |
|
14 |
14 |
$96.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,042 |
868 |
$42.43 |
| 96127 |
|
494 |
404 |
$13.30 |
| 99174 |
|
51 |
47 |
$1.95 |
| 99173 |
|
872 |
710 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,036 |
896 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
188 |
126 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
312 |
272 |
$0.00 |
| 91300 |
|
30 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,152 |
850 |
$0.00 |
| 92551 |
|
875 |
747 |
$0.00 |