| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,991 |
20,388 |
$1.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,286 |
8,177 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,127 |
7,391 |
$55K |
| 80306 |
|
1,702 |
1,419 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
50 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
812 |
796 |
$1K |
| 90674 |
|
64 |
64 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
84 |
$950.05 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
61 |
$909.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
276 |
270 |
$715.89 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
126 |
$505.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
82 |
$423.90 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$394.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
158 |
$328.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
54 |
$325.36 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$261.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$142.72 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$101.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
57 |
$74.28 |
| 96127 |
|
81 |
79 |
$38.78 |
| 87807 |
|
21 |
21 |
$32.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$27.42 |
| 81002 |
|
36 |
36 |
$17.28 |
| 81000 |
|
43 |
39 |
$5.28 |
| 85018 |
|
13 |
13 |
$1.96 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,424 |
1,330 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
286 |
266 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90688 |
|
34 |
34 |
$0.00 |
| 3008F |
|
33 |
28 |
$0.00 |
| 1036F |
|
16 |
12 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 1160F |
|
109 |
99 |
$0.00 |
| 99173 |
|
45 |
45 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 3078F |
|
17 |
16 |
$0.00 |
| 3077F |
|
16 |
13 |
$0.00 |