| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,801 |
22,140 |
$7.53M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
923 |
882 |
$571.53 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,102 |
1,001 |
$534.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,658 |
2,318 |
$351.53 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,927 |
7,512 |
$188.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,381 |
3,251 |
$110.21 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
440 |
428 |
$98.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,043 |
1,973 |
$33.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
322 |
310 |
$16.55 |
| 90686 |
|
930 |
870 |
$16.26 |
| 1159F |
|
1,324 |
993 |
$0.00 |
| 1160F |
|
1,324 |
993 |
$0.00 |
| 99173 |
|
1,191 |
1,141 |
$0.00 |
| 90670 |
|
468 |
451 |
$0.00 |
| 3077F |
|
50 |
41 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
245 |
226 |
$0.00 |
| 99188 |
|
44 |
43 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,010 |
963 |
$0.00 |
| 90715 |
|
35 |
33 |
$0.00 |
| 3078F |
|
802 |
640 |
$0.00 |
| 90734 |
|
80 |
76 |
$0.00 |
| 99177 |
|
66 |
65 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
173 |
$0.00 |
| 90685 |
|
54 |
50 |
$0.00 |
| 90633 |
|
27 |
26 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,233 |
912 |
$0.00 |
| 92551 |
|
2,296 |
2,197 |
$0.00 |
| 1111F |
|
1,324 |
993 |
$0.00 |
| 90651 |
|
130 |
125 |
$0.00 |
| 87807 |
|
14 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
269 |
259 |
$0.00 |
| 3074F |
|
810 |
646 |
$0.00 |
| 99000 |
|
154 |
143 |
$0.00 |
| 3079F |
|
132 |
105 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |
| 90656 |
|
108 |
108 |
$0.00 |
| 99172 |
|
31 |
30 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
29 |
$0.00 |
| 90647 |
|
276 |
267 |
$0.00 |
| 85018 |
|
56 |
52 |
$0.00 |
| 0012A |
|
17 |
17 |
$0.00 |
| 0011A |
|
14 |
13 |
$0.00 |
| 3075F |
|
67 |
51 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 91301 |
|
50 |
30 |
$0.00 |