| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,977 |
8,245 |
$334K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,996 |
5,798 |
$245K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,454 |
8,933 |
$226K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,403 |
3,144 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,914 |
1,397 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,185 |
871 |
$39K |
| 92587 |
|
2,734 |
2,087 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
899 |
717 |
$30K |
| 90670 |
|
786 |
560 |
$25K |
| 90710 |
|
115 |
77 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,459 |
1,892 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
798 |
552 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,805 |
1,398 |
$8K |
| 90686 |
|
706 |
444 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
115 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
731 |
293 |
$5K |
| 90723 |
|
393 |
287 |
$4K |
| 99173 |
|
2,674 |
2,059 |
$4K |
| 90647 |
|
320 |
227 |
$3K |
| 90633 |
|
75 |
53 |
$2K |
| 0012A |
|
41 |
37 |
$1K |
| 90680 |
|
251 |
184 |
$788.65 |
| 36415 |
Collection of venous blood by venipuncture |
558 |
399 |
$552.65 |
| 0011A |
|
20 |
15 |
$552.62 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$382.86 |
| 85610 |
|
697 |
423 |
$314.60 |
| 90696 |
|
16 |
12 |
$164.89 |
| 99188 |
|
12 |
12 |
$118.44 |
| 90461 |
|
1,363 |
759 |
$47.25 |
| 91301 |
|
30 |
27 |
$0.24 |
| 90734 |
|
14 |
14 |
$0.00 |