| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
57,971 |
48,374 |
$6.18M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21,774 |
19,403 |
$267K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,393 |
2,219 |
$255K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,554 |
3,326 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,226 |
33,850 |
$25K |
| 90670 |
|
3,613 |
3,011 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,144 |
3,599 |
$23K |
| 90698 |
|
3,103 |
2,671 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,538 |
3,927 |
$21K |
| 90680 |
|
2,014 |
1,734 |
$13K |
| 90744 |
|
1,801 |
1,519 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
108 |
47 |
$9K |
| 90716 |
|
1,159 |
1,006 |
$8K |
| 90707 |
|
1,146 |
989 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,257 |
2,021 |
$7K |
| 87807 |
|
637 |
608 |
$7K |
| 90633 |
|
979 |
843 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,638 |
1,451 |
$6K |
| 90651 |
|
698 |
644 |
$5K |
| 83655 |
|
330 |
295 |
$4K |
| 90686 |
|
551 |
513 |
$4K |
| 90734 |
|
484 |
451 |
$4K |
| 90688 |
|
348 |
326 |
$3K |
| 90677 |
|
306 |
275 |
$2K |
| 36416 |
|
867 |
722 |
$2K |
| 81003 |
|
527 |
459 |
$1K |
| 90715 |
|
117 |
117 |
$936.00 |
| 90696 |
|
124 |
110 |
$848.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
136 |
64 |
$632.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
990 |
743 |
$603.70 |
| 92551 |
|
393 |
266 |
$517.75 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
902 |
801 |
$281.00 |
| 90461 |
|
58 |
25 |
$253.72 |
| 90700 |
|
32 |
28 |
$224.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$138.01 |
| 90685 |
|
14 |
14 |
$112.00 |
| 99381 |
|
12 |
12 |
$89.29 |
| 90656 |
|
23 |
22 |
$24.00 |
| 99173 |
|
202 |
85 |
$5.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
141 |
102 |
$1.76 |
| 1160F |
|
1,626 |
1,321 |
$0.00 |
| 3078F |
|
837 |
706 |
$0.00 |
| 4025F |
|
210 |
185 |
$0.00 |
| 1159F |
|
1,627 |
1,321 |
$0.00 |
| 3074F |
|
868 |
733 |
$0.00 |
| 99000 |
|
38 |
28 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 1126F |
|
595 |
516 |
$0.00 |
| 3008F |
|
1,314 |
1,062 |
$0.00 |
| 1036F |
|
970 |
755 |
$0.00 |
| 3079F |
|
28 |
20 |
$0.00 |