| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,152 |
14,761 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,064 |
6,661 |
$255K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,280 |
8,230 |
$201K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,725 |
2,754 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,729 |
2,703 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,361 |
1,902 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,361 |
741 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
530 |
$25K |
| 92551 |
|
6,862 |
3,933 |
$21K |
| 99381 |
|
242 |
146 |
$4K |
| 85018 |
|
2,240 |
1,300 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
538 |
526 |
$2K |
| 99188 |
|
150 |
79 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
28 |
$550.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
24 |
$237.31 |
| 90700 |
|
47 |
28 |
$32.93 |
| 90670 |
|
3,043 |
1,804 |
$23.03 |
| 90647 |
|
2,032 |
1,260 |
$12.16 |
| 90686 |
|
5,073 |
3,009 |
$9.11 |
| 90633 |
|
1,603 |
998 |
$7.66 |
| 90723 |
|
1,955 |
1,204 |
$7.12 |
| 90734 |
|
563 |
323 |
$6.11 |
| 90651 |
|
736 |
427 |
$1.33 |
| 90681 |
|
1,166 |
701 |
$0.55 |
| 90715 |
|
136 |
79 |
$0.36 |
| 90716 |
|
224 |
142 |
$0.20 |
| 90707 |
|
175 |
112 |
$0.17 |
| 90696 |
|
101 |
60 |
$0.16 |
| 90710 |
|
143 |
87 |
$0.10 |
| 3008F |
|
10,666 |
6,022 |
$0.00 |
| 1036F |
|
2,104 |
1,212 |
$0.00 |
| 2001F |
|
10,675 |
6,024 |
$0.00 |
| 3074F |
|
8,673 |
4,871 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,018 |
2,723 |
$0.00 |
| 1111F |
|
1,860 |
994 |
$0.00 |
| 90677 |
|
498 |
377 |
$0.00 |
| 90697 |
|
905 |
537 |
$0.00 |
| 1034F |
|
191 |
111 |
$0.00 |
| 90656 |
|
229 |
225 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 90381 |
|
19 |
17 |
$0.00 |
| 1035F |
|
191 |
111 |
$0.00 |
| 99173 |
|
944 |
895 |
$0.00 |
| 3078F |
|
8,524 |
4,794 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,003 |
2,715 |
$0.00 |
| 90461 |
|
25 |
24 |
$0.00 |
| 90687 |
|
287 |
177 |
$0.00 |
| 90671 |
|
244 |
126 |
$0.00 |