| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,173 |
4,922 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,398 |
2,578 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$273.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
74 |
$235.20 |
| 96127 |
|
180 |
162 |
$227.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,445 |
835 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
40 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
719 |
590 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
50 |
$0.00 |
| 90672 |
|
40 |
37 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
34 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
149 |
35 |
$0.00 |
| 90633 |
|
19 |
13 |
$0.00 |
| 90670 |
|
15 |
12 |
$0.00 |