| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,170 |
2,589 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,701 |
2,203 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
371 |
348 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
335 |
197 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
154 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
20 |
$1K |
| 90756 |
|
13 |
12 |
$560.47 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$330.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$163.00 |