| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,647 |
13,334 |
$1.46M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
111 |
58 |
$31.30 |
| 81003 |
|
938 |
689 |
$15.26 |
| 81001 |
|
107 |
83 |
$5.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,249 |
3,421 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,924 |
4,744 |
$0.00 |
| 90686 |
|
145 |
135 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
863 |
725 |
$0.00 |
| 87428 |
|
359 |
344 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
138 |
126 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
36 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
38 |
28 |
$0.00 |
| 90677 |
|
16 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
28 |
$0.00 |
| 0502F |
|
603 |
406 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
118 |
105 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
259 |
219 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
607 |
466 |
$0.00 |
| 90461 |
|
89 |
83 |
$0.00 |
| 90670 |
|
44 |
42 |
$0.00 |
| 81025 |
|
34 |
26 |
$0.00 |
| 80305 |
|
72 |
42 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
31 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
159 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
12 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |