| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,343 |
22,774 |
$2.12M |
| 99199 |
Unlisted special service, procedure or report |
66,606 |
30,913 |
$338K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,167 |
935 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,770 |
1,466 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,947 |
1,718 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
524 |
461 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
137 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
69 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
82 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
78 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
241 |
197 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
435 |
366 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
51 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
955 |
808 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$1K |
| 90651 |
|
15 |
14 |
$668.55 |
| 96127 |
|
664 |
356 |
$573.97 |
| 90686 |
|
559 |
527 |
$242.88 |
| 90474 |
|
14 |
12 |
$164.52 |
| 99173 |
|
875 |
751 |
$78.62 |
| 3074F |
|
2,504 |
2,203 |
$66.27 |
| 92551 |
|
731 |
648 |
$51.33 |
| G0008 |
Administration of influenza virus vaccine |
44 |
43 |
$18.00 |
| 94760 |
|
82 |
76 |
$2.13 |
| 3008F |
|
3,486 |
3,015 |
$0.00 |
| 3079F |
|
238 |
212 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| 90698 |
|
26 |
24 |
$0.00 |
| 3075F |
|
25 |
24 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18 |
14 |
$0.00 |
| 90688 |
|
14 |
13 |
$0.00 |
| 1159F |
|
2,646 |
2,307 |
$0.00 |
| 3078F |
|
2,067 |
1,803 |
$0.00 |
| 1160F |
|
2,646 |
2,307 |
$0.00 |
| 3077F |
|
59 |
52 |
$0.00 |
| 90670 |
|
59 |
52 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 99307 |
|
16 |
12 |
$0.00 |