| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
63,376 |
54,756 |
$14.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,156 |
30,033 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,495 |
3,425 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
27 |
$19K |
| 0002A |
|
187 |
187 |
$7K |
| 0001A |
|
82 |
82 |
$3K |
| 0071A |
|
50 |
50 |
$2K |
| 90715 |
|
487 |
487 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,471 |
1,430 |
$2K |
| 0072A |
|
38 |
38 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,408 |
3,399 |
$697.77 |
| 90656 |
|
70 |
70 |
$313.95 |
| 90686 |
|
1,744 |
1,744 |
$209.31 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
155 |
155 |
$154.01 |
| 81025 |
|
336 |
331 |
$149.59 |
| 81003 |
|
49 |
40 |
$26.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,808 |
3,792 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,617 |
2,617 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,075 |
4,072 |
$0.00 |
| 90734 |
|
65 |
65 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
639 |
639 |
$0.00 |
| 90670 |
|
870 |
870 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
937 |
937 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
390 |
389 |
$0.00 |
| 99051 |
|
232 |
229 |
$0.00 |
| 3078F |
|
930 |
779 |
$0.00 |
| 90700 |
|
105 |
105 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,683 |
1,683 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
156 |
156 |
$0.00 |
| 90681 |
|
283 |
283 |
$0.00 |
| 90633 |
|
385 |
385 |
$0.00 |
| 90710 |
|
44 |
44 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
114 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
75 |
$0.00 |
| 90707 |
|
48 |
48 |
$0.00 |
| 87210 |
|
13 |
13 |
$0.00 |
| 3008F |
|
1,084 |
917 |
$0.00 |
| 90647 |
|
638 |
638 |
$0.00 |
| 90716 |
|
50 |
50 |
$0.00 |
| 90723 |
|
607 |
607 |
$0.00 |
| 90651 |
|
451 |
451 |
$0.00 |
| 3074F |
|
1,019 |
857 |
$0.00 |
| 1111F |
|
1,048 |
885 |
$0.00 |
| 90474 |
|
136 |
136 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |
| 99381 |
|
126 |
126 |
$0.00 |
| 88720 |
|
24 |
17 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$0.00 |