| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,492 |
4,945 |
$664K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,564 |
1,456 |
$126.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
338 |
333 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
417 |
411 |
$0.00 |
| 90670 |
|
37 |
25 |
$0.00 |
| 99173 |
|
939 |
915 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$0.00 |
| 90633 |
|
381 |
281 |
$0.00 |
| 92552 |
|
749 |
730 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
151 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
176 |
$0.00 |
| 90461 |
|
136 |
136 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
179 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
118 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
88 |
$0.00 |
| 90710 |
|
23 |
12 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
242 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90698 |
|
43 |
39 |
$0.00 |
| 90651 |
|
16 |
12 |
$0.00 |
| 87807 |
|
16 |
16 |
$0.00 |
| 90688 |
|
48 |
24 |
$0.00 |