| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,960 |
8,413 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,961 |
3,352 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,714 |
1,504 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,556 |
1,375 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,366 |
618 |
$11K |
| 3008F |
|
251 |
231 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
417 |
377 |
$8K |
| 94760 |
|
285 |
234 |
$6K |
| 99173 |
|
478 |
450 |
$6K |
| 92551 |
|
433 |
410 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
395 |
365 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
239 |
215 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
547 |
461 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
306 |
294 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
473 |
443 |
$3K |
| 90686 |
|
91 |
89 |
$3K |
| 87807 |
|
312 |
285 |
$2K |
| 90648 |
|
76 |
68 |
$1K |
| 90670 |
|
157 |
142 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
101 |
$790.92 |
| 90658 |
|
32 |
30 |
$790.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
525 |
474 |
$447.84 |
| 90633 |
|
14 |
12 |
$395.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
349 |
329 |
$138.25 |
| 90461 |
|
320 |
299 |
$138.25 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
55 |
$136.34 |
| 86710 |
|
19 |
16 |
$131.82 |
| 90834 |
Psychotherapy, 45 minutes with patient |
480 |
344 |
$0.00 |
| 90723 |
|
27 |
24 |
$0.00 |
| 90680 |
|
40 |
37 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
40 |
$0.00 |
| 94761 |
|
18 |
18 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
797 |
535 |
$0.00 |