| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,546 |
3,953 |
$899K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,865 |
1,687 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$540.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
85 |
$336.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
122 |
$41.70 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
207 |
207 |
$34.65 |
| 87430 |
|
83 |
82 |
$28.24 |
| 86328 |
|
132 |
126 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
13 |
13 |
$0.00 |
| 90461 |
|
30 |
30 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
122 |
121 |
$0.00 |
| 87807 |
|
32 |
31 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |