| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,565 |
9,789 |
$1.06M |
| 90686 |
|
15 |
13 |
$19.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
49 |
$15.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,066 |
2,517 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,559 |
4,790 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
15 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
219 |
120 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
93 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
731 |
534 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$0.00 |
| 87400 |
|
76 |
70 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
62 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
19 |
$0.00 |