| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,074 |
8,380 |
$1.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,039 |
2,792 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,765 |
1,602 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,170 |
1,136 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
432 |
426 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
221 |
$675.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
434 |
409 |
$416.98 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
208 |
$281.46 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
335 |
323 |
$244.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
686 |
675 |
$128.65 |
| 99173 |
|
94 |
89 |
$117.36 |
| 90461 |
|
393 |
383 |
$99.63 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
247 |
137 |
$92.20 |
| 92567 |
|
107 |
101 |
$85.09 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
683 |
654 |
$56.29 |
| 92551 |
|
59 |
56 |
$29.00 |
| 81002 |
|
32 |
30 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
108 |
$0.00 |
| 83655 |
|
19 |
15 |
$0.00 |
| 87430 |
|
426 |
394 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
195 |
192 |
$0.00 |
| 90474 |
|
41 |
39 |
$0.00 |
| 96161 |
|
16 |
14 |
$0.00 |