| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,263 |
1,113 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
675 |
608 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
64 |
$863.93 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$545.64 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
27 |
$500.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
203 |
$65.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
67 |
$13.06 |
| 90656 |
|
43 |
43 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
17 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
108 |
$0.00 |
| 90461 |
|
47 |
42 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
54 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
37 |
$0.00 |