| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,147 |
8,012 |
$2.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,687 |
2,438 |
$991.05 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,363 |
2,019 |
$947.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,283 |
1,266 |
$892.16 |
| 81025 |
|
138 |
130 |
$416.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
517 |
517 |
$373.66 |
| 36415 |
Collection of venous blood by venipuncture |
116 |
109 |
$286.08 |
| 90473 |
|
138 |
138 |
$178.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
44 |
$144.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$19.14 |
| 90688 |
|
72 |
72 |
$4.27 |
| 3008F |
|
489 |
478 |
$0.00 |
| 96127 |
|
1,709 |
1,134 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
505 |
436 |
$0.00 |
| 1036F |
|
187 |
162 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
965 |
502 |
$0.00 |
| 85018 |
|
213 |
212 |
$0.00 |
| 90677 |
|
60 |
60 |
$0.00 |
| 3074F |
|
666 |
602 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
17 |
$0.00 |
| 90697 |
|
40 |
40 |
$0.00 |
| 90686 |
|
226 |
225 |
$0.00 |
| 3079F |
|
39 |
34 |
$0.00 |
| 36416 |
|
39 |
39 |
$0.00 |
| 91307 |
|
14 |
12 |
$0.00 |
| 90660 |
|
49 |
49 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90656 |
|
49 |
49 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3351F |
|
14 |
14 |
$0.00 |
| 99188 |
|
42 |
42 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
25 |
$0.00 |
| 1160F |
|
1,683 |
1,448 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
253 |
240 |
$0.00 |
| 99173 |
|
57 |
57 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
19 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 3078F |
|
107 |
101 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
69 |
$0.00 |
| 3725F |
|
92 |
81 |
$0.00 |
| 90672 |
|
54 |
54 |
$0.00 |
| 83655 |
|
26 |
26 |
$0.00 |
| 90671 |
|
28 |
28 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
28 |
28 |
$0.00 |
| 90670 |
|
39 |
39 |
$0.00 |
| 90461 |
|
17 |
16 |
$0.00 |