| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,595 |
5,934 |
$679K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,200 |
4,646 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,927 |
997 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,701 |
962 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,386 |
900 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,900 |
1,107 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
335 |
196 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,581 |
889 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,845 |
1,903 |
$3K |
| 92551 |
|
1,267 |
704 |
$984.07 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
421 |
246 |
$850.56 |
| 90473 |
|
255 |
177 |
$750.96 |
| 85018 |
|
1,882 |
926 |
$512.82 |
| 99051 |
|
42 |
24 |
$374.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
324 |
193 |
$262.50 |
| 99173 |
|
1,379 |
758 |
$250.00 |
| 81002 |
|
747 |
375 |
$224.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
13 |
$220.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
68 |
$156.22 |
| 94664 |
|
17 |
16 |
$134.25 |
| 94760 |
|
41 |
31 |
$10.21 |
| 83655 |
|
35 |
25 |
$9.63 |
| 90670 |
|
757 |
401 |
$0.00 |
| 90633 |
|
117 |
25 |
$0.00 |
| 90648 |
|
80 |
42 |
$0.00 |
| 90680 |
|
222 |
155 |
$0.00 |
| 90697 |
|
183 |
117 |
$0.00 |
| 90686 |
|
43 |
31 |
$0.00 |
| 90677 |
|
76 |
62 |
$0.00 |
| 90634 |
|
20 |
14 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |