| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,782 |
2,350 |
$649K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
210 |
210 |
$396.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
257 |
$152.00 |
| 3008F |
|
735 |
653 |
$0.00 |
| 92551 |
|
389 |
387 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,020 |
900 |
$0.00 |
| 3074F |
|
745 |
659 |
$0.00 |
| 2001F |
|
737 |
655 |
$0.00 |
| 87428 |
|
15 |
14 |
$0.00 |
| 1159F |
|
909 |
798 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
383 |
365 |
$0.00 |
| 99173 |
|
408 |
407 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
111 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
163 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
225 |
220 |
$0.00 |
| 90461 |
|
38 |
38 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
151 |
$0.00 |
| 3078F |
|
643 |
571 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
60 |
$0.00 |