| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,388 |
12,447 |
$3.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,432 |
2,035 |
$9K |
| 90686 |
|
128 |
123 |
$561.69 |
| 92551 |
|
632 |
601 |
$121.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
656 |
590 |
$54.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
247 |
$26.46 |
| 1159F |
|
721 |
634 |
$0.01 |
| 3078F |
|
390 |
344 |
$0.01 |
| 3074F |
|
407 |
356 |
$0.01 |
| 99173 |
|
625 |
599 |
$0.00 |
| 90461 |
|
141 |
141 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
82 |
76 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
58 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
422 |
416 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
156 |
155 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
196 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
33 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$0.00 |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$0.00 |
| 3008F |
|
242 |
209 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
64 |
64 |
$0.00 |
| 2001F |
|
172 |
143 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
41 |
41 |
$0.00 |