| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,290 |
18,264 |
$3.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,682 |
8,516 |
$297K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,967 |
2,601 |
$150K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,625 |
2,285 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,993 |
1,775 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,187 |
1,047 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,890 |
1,754 |
$46K |
| 90619 |
|
365 |
356 |
$25K |
| 99000 |
|
3,586 |
3,251 |
$11K |
| 0001A |
|
306 |
250 |
$10K |
| 99383 |
|
143 |
121 |
$8K |
| 87428 |
|
579 |
564 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
419 |
413 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,654 |
1,396 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
878 |
851 |
$6K |
| 99381 |
|
104 |
95 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
97 |
$5K |
| 90620 |
|
264 |
245 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
413 |
399 |
$3K |
| 0071A |
|
72 |
68 |
$3K |
| 0072A |
|
68 |
66 |
$3K |
| 99384 |
|
22 |
18 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,426 |
5,687 |
$701.52 |
| 0002A |
|
13 |
13 |
$520.00 |
| 87420 |
|
72 |
72 |
$467.20 |
| 92551 |
|
2,152 |
1,804 |
$455.40 |
| 90686 |
|
2,948 |
2,654 |
$321.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,507 |
3,334 |
$217.98 |
| 90670 |
|
1,031 |
913 |
$160.71 |
| 86580 |
|
34 |
32 |
$142.12 |
| 81002 |
|
72 |
69 |
$105.12 |
| 90461 |
|
63 |
47 |
$13.42 |
| 90621 |
|
13 |
12 |
$0.05 |
| 90633 |
|
814 |
730 |
$0.00 |
| 90648 |
|
247 |
204 |
$0.00 |
| 99173 |
|
2,487 |
2,082 |
$0.00 |
| 91300 |
|
351 |
291 |
$0.00 |
| 90715 |
|
563 |
483 |
$0.00 |
| 90734 |
|
743 |
608 |
$0.00 |
| 90700 |
|
79 |
74 |
$0.00 |
| 90710 |
|
529 |
454 |
$0.00 |
| 90707 |
|
41 |
41 |
$0.00 |
| 90473 |
|
61 |
61 |
$0.00 |
| 90697 |
|
186 |
181 |
$0.00 |
| 90696 |
|
337 |
294 |
$0.00 |
| 36416 |
|
604 |
510 |
$0.00 |
| 90680 |
|
589 |
514 |
$0.00 |
| 90474 |
|
128 |
122 |
$0.00 |
| 90744 |
|
101 |
85 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,207 |
1,087 |
$0.00 |
| 90651 |
|
1,355 |
1,172 |
$0.00 |
| 90698 |
|
350 |
301 |
$0.00 |
| 91307 |
|
144 |
130 |
$0.00 |
| 90677 |
|
74 |
74 |
$0.00 |
| 90716 |
|
50 |
50 |
$0.00 |
| 90723 |
|
79 |
59 |
$0.00 |