| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,380 |
4,105 |
$1.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,093 |
901 |
$198.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,848 |
1,346 |
$96.45 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
590 |
453 |
$20.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
545 |
440 |
$10.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
213 |
$5.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
26 |
$5.00 |
| 96127 |
|
432 |
338 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 3074F |
|
34 |
34 |
$0.00 |
| 90656 |
|
84 |
84 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
770 |
615 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
260 |
216 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 3008F |
|
386 |
369 |
$0.00 |
| 90686 |
|
252 |
184 |
$0.00 |
| 90651 |
|
22 |
13 |
$0.00 |
| 90619 |
|
51 |
48 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
61 |
61 |
$0.00 |
| 90677 |
|
38 |
37 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
210 |
175 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
359 |
305 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
495 |
325 |
$0.00 |
| 3078F |
|
34 |
34 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
30 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |