| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,046 |
18,216 |
$3.97M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
392 |
383 |
$81K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
740 |
636 |
$43K |
| 90670 |
|
1,460 |
1,328 |
$24K |
| 90700 |
|
2,332 |
2,175 |
$19K |
| 90648 |
|
1,937 |
1,807 |
$14K |
| 90713 |
|
1,606 |
1,497 |
$13K |
| 90461 |
|
427 |
363 |
$12K |
| 90671 |
|
567 |
551 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
870 |
833 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,087 |
7,824 |
$10K |
| 90680 |
|
1,321 |
1,237 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
541 |
521 |
$8K |
| 90744 |
|
955 |
890 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
244 |
237 |
$6K |
| 90716 |
|
609 |
567 |
$6K |
| 90707 |
|
613 |
568 |
$5K |
| 90633 |
|
725 |
682 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,196 |
2,026 |
$3K |
| 87807 |
|
173 |
171 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
50 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
25 |
$1K |
| 36416 |
|
637 |
595 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,284 |
2,226 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
789 |
721 |
$1K |
| 90686 |
|
78 |
76 |
$568.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,618 |
1,565 |
$342.64 |
| 90661 |
|
46 |
40 |
$256.00 |
| 90651 |
|
16 |
15 |
$112.00 |
| 90381 |
|
13 |
13 |
$104.00 |
| 90619 |
|
12 |
12 |
$96.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
430 |
419 |
$87.01 |
| 92551 |
|
874 |
832 |
$55.63 |
| 99173 |
|
1,175 |
1,127 |
$45.84 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$19.94 |
| 96127 |
|
775 |
741 |
$1.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
551 |
531 |
$1.12 |
| 99383 |
|
18 |
15 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
29 |
$0.00 |