| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,444 |
1,111 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
408 |
339 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
532 |
443 |
$2K |
| 90686 |
|
63 |
59 |
$565.13 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
73 |
$452.78 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$112.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
42 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
27 |
$0.00 |