| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,771 |
3,348 |
$825K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
186 |
186 |
$145.95 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
94 |
94 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
69 |
67 |
$0.00 |
| 99173 |
|
405 |
403 |
$0.00 |
| 90461 |
|
38 |
38 |
$0.00 |
| 1159F |
|
785 |
710 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
184 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
291 |
283 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
154 |
$0.00 |
| 3078F |
|
316 |
309 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
72 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 3074F |
|
395 |
380 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
947 |
858 |
$0.00 |
| 1111F |
|
69 |
69 |
$0.00 |
| 2001F |
|
370 |
342 |
$0.00 |
| 3008F |
|
371 |
343 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,224 |
1,162 |
$0.00 |
| 92551 |
|
406 |
404 |
$0.00 |
| 3079F |
|
83 |
77 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |