| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,981 |
7,398 |
$777K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,033 |
2,543 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,779 |
1,274 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
879 |
624 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
343 |
251 |
$3K |
| 92551 |
|
937 |
748 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
170 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,379 |
1,108 |
$1K |
| 85018 |
|
2,102 |
1,647 |
$661.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
324 |
263 |
$614.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
294 |
250 |
$503.94 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
51 |
$473.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
58 |
$332.13 |
| 86703 |
|
64 |
46 |
$95.44 |
| G9920 |
Screening performed and negative |
140 |
98 |
$87.00 |
| 99000 |
|
145 |
116 |
$61.94 |
| 99215 |
Prolong outpt/office vis |
25 |
22 |
$60.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
15 |
$56.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
29 |
$46.27 |
| 96160 |
|
13 |
13 |
$0.00 |
| 90734 |
|
30 |
26 |
$0.00 |
| 90686 |
|
625 |
461 |
$0.00 |
| 96161 |
|
16 |
15 |
$0.00 |