| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,520 |
885 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
78 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
324 |
178 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
53 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
124 |
106 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
218 |
168 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
26 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
111 |
$811.01 |
| 85018 |
|
214 |
157 |
$594.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
33 |
$470.35 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$457.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$341.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$199.58 |
| 99173 |
|
240 |
175 |
$196.94 |
| 90734 |
|
36 |
26 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
733 |
506 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
17 |
14 |
$0.00 |
| 90686 |
|
48 |
38 |
$0.00 |
| 90688 |
|
22 |
12 |
$0.00 |