| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,354 |
33,679 |
$5.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,516 |
12,332 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,643 |
7,757 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,771 |
3,561 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
524 |
501 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,972 |
3,922 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
569 |
548 |
$575.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
235 |
214 |
$348.81 |
| 96127 |
|
4,080 |
2,136 |
$327.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
138 |
129 |
$324.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
636 |
623 |
$260.19 |
| 99177 |
|
7,065 |
6,623 |
$242.44 |
| 90686 |
|
833 |
813 |
$211.03 |
| 92551 |
|
1,102 |
1,084 |
$200.98 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
484 |
479 |
$181.76 |
| 99188 |
|
168 |
153 |
$109.08 |
| 94760 |
|
260 |
250 |
$73.88 |
| 92587 |
|
418 |
404 |
$2.72 |
| 85018 |
|
24 |
24 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
12 |
12 |
$0.00 |
| 87428 |
|
29 |
28 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 99072 |
|
2,482 |
2,316 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
238 |
238 |
$0.00 |
| 96160 |
|
205 |
131 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
73 |
$0.00 |
| 90473 |
|
17 |
17 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90672 |
|
20 |
20 |
$0.00 |