| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,730 |
5,506 |
$1.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
83 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
65 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
68 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
396 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$3K |
| 99215 |
Prolong outpt/office vis |
173 |
153 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
176 |
$945.20 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
100 |
100 |
$700.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
51 |
$565.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
506 |
425 |
$220.00 |
| 90461 |
|
257 |
204 |
$176.72 |
| 99441 |
|
27 |
26 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$0.00 |
| 99307 |
|
12 |
12 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 99442 |
|
70 |
60 |
$0.00 |