| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,899 |
5,350 |
$1.17M |
| 0072A |
|
18 |
18 |
$680.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
75 |
$209.70 |
| 92551 |
|
126 |
126 |
$105.00 |
| 99173 |
|
169 |
169 |
$55.00 |
| 90461 |
|
14 |
13 |
$50.62 |
| 3074F |
|
1,536 |
1,441 |
$0.01 |
| 3008F |
|
1,655 |
1,562 |
$0.01 |
| 3078F |
|
1,224 |
1,164 |
$0.01 |
| 1034F |
|
661 |
593 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,567 |
3,284 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,019 |
978 |
$0.00 |
| 1036F |
|
768 |
720 |
$0.00 |
| 3075F |
|
244 |
235 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$0.00 |
| 3079F |
|
630 |
604 |
$0.00 |
| 96127 |
|
73 |
72 |
$0.00 |
| 3080F |
|
27 |
27 |
$0.00 |
| 3725F |
|
455 |
447 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
63 |
$0.00 |
| 1159F |
|
1,434 |
1,315 |
$0.00 |
| 80305 |
|
145 |
133 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
95 |
$0.00 |
| 1160F |
|
1,511 |
1,392 |
$0.00 |
| 3077F |
|
131 |
125 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |