| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,391 |
3,899 |
$353K |
| 90686 |
|
35 |
28 |
$89.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
13 |
$62.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
30 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
429 |
336 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
141 |
101 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,042 |
1,352 |
$0.00 |