| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,827 |
2,516 |
$321K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,434 |
1,275 |
$8K |
| 87428 |
|
166 |
157 |
$2K |
| 99173 |
|
91 |
87 |
$2K |
| 92551 |
|
39 |
38 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
19 |
$852.72 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$616.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$252.88 |
| 3351F |
|
27 |
27 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
115 |
$0.00 |
| 3074F |
|
70 |
66 |
$0.00 |
| 1000F |
|
135 |
118 |
$0.00 |
| 1160F |
|
270 |
246 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 3078F |
|
26 |
25 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
30 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
27 |
$0.00 |