| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,943 |
30,480 |
$3.05M |
| 99199 |
Unlisted special service, procedure or report |
94,098 |
40,649 |
$479K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,532 |
1,059 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
393 |
340 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,527 |
2,191 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,541 |
1,214 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
799 |
718 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
153 |
140 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
136 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
859 |
721 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
335 |
260 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
92 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,272 |
1,881 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
88 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
54 |
$3K |
| 96127 |
|
871 |
637 |
$2K |
| 90686 |
|
723 |
660 |
$839.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
530 |
458 |
$365.49 |
| 99173 |
|
1,534 |
1,322 |
$294.29 |
| 92551 |
|
1,069 |
915 |
$241.68 |
| 99401 |
|
22 |
12 |
$165.03 |
| 81003 |
|
59 |
49 |
$149.28 |
| 85018 |
|
57 |
54 |
$51.98 |
| 36416 |
|
284 |
255 |
$12.64 |
| 3074F |
|
4,232 |
3,600 |
$6.14 |
| 1160F |
|
4,735 |
4,039 |
$0.00 |
| 3078F |
|
3,838 |
3,261 |
$0.00 |
| 1159F |
|
4,736 |
4,039 |
$0.00 |
| 90670 |
|
80 |
78 |
$0.00 |
| 90671 |
|
30 |
30 |
$0.00 |
| 4004F |
|
64 |
60 |
$0.00 |
| 3077F |
|
30 |
28 |
$0.00 |
| 3008F |
|
5,700 |
4,818 |
$0.00 |
| 3079F |
|
134 |
121 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
116 |
103 |
$0.00 |
| 90744 |
|
15 |
12 |
$0.00 |
| 90656 |
|
25 |
25 |
$0.00 |
| 90698 |
|
37 |
36 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |