| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,199 |
8,471 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,320 |
5,819 |
$733.74 |
| 3078F |
|
7,593 |
6,068 |
$700.00 |
| 3074F |
|
7,865 |
6,305 |
$690.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
235 |
224 |
$466.55 |
| 1036F |
|
6,574 |
5,197 |
$178.59 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
132 |
$78.11 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
240 |
219 |
$63.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
335 |
300 |
$29.40 |
| 3075F |
|
182 |
155 |
$20.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
231 |
219 |
$9.13 |
| 3079F |
|
466 |
423 |
$5.00 |
| 1111F |
|
5,810 |
4,791 |
$0.00 |
| 1034F |
|
1,441 |
1,158 |
$0.00 |
| 3008F |
|
6,620 |
5,604 |
$0.00 |
| 90686 |
|
52 |
37 |
$0.00 |
| 90680 |
|
62 |
57 |
$0.00 |
| 1126F |
|
1,168 |
1,051 |
$0.00 |
| 90474 |
|
27 |
25 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
717 |
482 |
$0.00 |
| 92551 |
|
537 |
497 |
$0.00 |
| 1125F |
|
104 |
78 |
$0.00 |
| 85018 |
|
398 |
363 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
69 |
52 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
40 |
$0.00 |
| 90723 |
|
26 |
24 |
$0.00 |
| 1031F |
|
67 |
41 |
$0.00 |
| 36416 |
|
84 |
76 |
$0.00 |
| 4037F |
|
30 |
27 |
$0.00 |
| 3210F |
|
141 |
124 |
$0.00 |
| 3725F |
|
2,469 |
2,018 |
$0.00 |
| 90648 |
|
80 |
74 |
$0.00 |
| 99173 |
|
530 |
473 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
127 |
$0.00 |
| 90670 |
|
170 |
160 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
343 |
303 |
$0.00 |
| 81025 |
|
398 |
301 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
246 |
$0.00 |
| 3016F |
|
219 |
195 |
$0.00 |
| 81002 |
|
370 |
326 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
61 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
58 |
50 |
$0.00 |
| 4025F |
|
29 |
24 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
12 |
$0.00 |
| 4040F |
|
18 |
14 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
23 |
14 |
$0.00 |