| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,630 |
16,612 |
$2.44M |
| 71015 |
|
38 |
12 |
$755.13 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,604 |
10,241 |
$398.72 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,212 |
1,890 |
$272.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,244 |
1,868 |
$119.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,347 |
3,673 |
$29.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,191 |
882 |
$13.13 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,372 |
2,002 |
$0.02 |
| 90648 |
|
1,625 |
1,408 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
524 |
431 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,144 |
2,673 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
589 |
233 |
$0.00 |
| 90633 |
|
302 |
265 |
$0.00 |
| 90670 |
|
1,162 |
993 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90671 |
|
458 |
413 |
$0.00 |
| 1159F |
|
562 |
488 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
215 |
158 |
$0.00 |
| 3078F |
|
814 |
666 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$0.00 |
| 99173 |
|
909 |
624 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
32 |
$0.00 |
| 1160F |
|
562 |
489 |
$0.00 |
| 90658 |
|
33 |
23 |
$0.00 |
| 83655 |
|
65 |
56 |
$0.00 |
| 3008F |
|
1,983 |
1,596 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
76 |
46 |
$0.00 |
| 85018 |
|
133 |
119 |
$0.00 |
| 87807 |
|
302 |
202 |
$0.00 |
| 90680 |
|
792 |
689 |
$0.00 |
| 1126F |
|
140 |
109 |
$0.00 |
| 90723 |
|
1,042 |
913 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,693 |
2,245 |
$0.00 |
| 90686 |
|
908 |
767 |
$0.00 |
| 92551 |
|
942 |
647 |
$0.00 |
| 1125F |
|
575 |
465 |
$0.00 |
| 90474 |
|
786 |
680 |
$0.00 |
| 1034F |
|
198 |
163 |
$0.00 |
| 1036F |
|
398 |
313 |
$0.00 |
| 99381 |
|
20 |
13 |
$0.00 |
| 3074F |
|
837 |
686 |
$0.00 |
| 20610 |
|
20 |
16 |
$0.00 |
| 90696 |
|
16 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
71 |
45 |
$0.00 |
| 90716 |
|
29 |
24 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
14 |
$0.00 |
| 90656 |
|
20 |
12 |
$0.00 |
| 00000 |
|
23 |
15 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
18 |
$0.00 |