| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,202 |
4,209 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,217 |
2,622 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
502 |
490 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
474 |
467 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
382 |
339 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
235 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
109 |
$3K |
| 87430 |
|
91 |
90 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$2K |
| 90648 |
|
62 |
62 |
$502.95 |
| 90656 |
|
144 |
144 |
$474.29 |
| 90734 |
|
38 |
38 |
$458.01 |
| 90707 |
|
12 |
12 |
$333.14 |
| 90633 |
|
61 |
58 |
$319.56 |
| 90677 |
|
261 |
261 |
$156.03 |
| 90651 |
|
39 |
39 |
$152.67 |
| 90681 |
|
38 |
38 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
582 |
572 |
$0.00 |
| 90473 |
|
34 |
32 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
782 |
766 |
$0.00 |
| 90680 |
|
35 |
33 |
$0.00 |
| 90723 |
|
83 |
81 |
$0.00 |
| 90686 |
|
75 |
65 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |