| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,459 |
7,610 |
$1.02M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
179 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
78 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
556 |
522 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
296 |
284 |
$4K |
| 87428 |
|
166 |
162 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
16 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
486 |
480 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,770 |
1,642 |
$980.13 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
26 |
24 |
$769.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
195 |
186 |
$337.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
300 |
285 |
$89.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
79 |
77 |
$80.57 |
| 90649 |
|
15 |
15 |
$0.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
474 |
303 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 96127 |
|
69 |
69 |
$0.00 |
| 90686 |
|
151 |
151 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
14 |
$0.00 |