| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,496 |
1,458 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,374 |
2,071 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
376 |
147 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,155 |
386 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
97 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
75 |
$2K |
| 92551 |
|
939 |
419 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
240 |
90 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
613 |
193 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
47 |
$954.75 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
55 |
$937.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
85 |
$733.99 |
| 99173 |
|
1,121 |
522 |
$522.96 |
| 87807 |
|
23 |
12 |
$52.40 |
| 90686 |
|
13 |
12 |
$0.00 |
| 96127 |
|
84 |
43 |
$0.00 |
| 90656 |
|
41 |
20 |
$0.00 |