| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,581 |
15,819 |
$1.81M |
| 99051 |
|
180 |
153 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,257 |
11,384 |
$0.00 |
| 90698 |
|
80 |
71 |
$0.00 |
| 85018 |
|
805 |
507 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,186 |
876 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,552 |
1,890 |
$0.00 |
| 90697 |
|
19 |
13 |
$0.00 |
| 87428 |
|
415 |
309 |
$0.00 |
| 87807 |
|
111 |
90 |
$0.00 |
| 90677 |
|
34 |
26 |
$0.00 |
| 96127 |
|
394 |
180 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
512 |
342 |
$0.00 |
| 90619 |
|
60 |
43 |
$0.00 |
| 96161 |
|
16 |
12 |
$0.00 |
| 90686 |
|
30 |
26 |
$0.00 |
| 90651 |
|
26 |
13 |
$0.00 |
| 92552 |
|
1,892 |
1,254 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,615 |
1,084 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
930 |
649 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,492 |
1,102 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
457 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
382 |
255 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,382 |
1,634 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,449 |
1,175 |
$0.00 |
| 99173 |
|
1,932 |
1,280 |
$0.00 |
| 90633 |
|
93 |
71 |
$0.00 |
| 90710 |
|
35 |
25 |
$0.00 |
| 90670 |
|
122 |
105 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
614 |
476 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
207 |
166 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 90621 |
|
27 |
12 |
$0.00 |
| 99188 |
|
33 |
24 |
$0.00 |