| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,577 |
25,698 |
$1.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,829 |
14,280 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,168 |
6,784 |
$64K |
| 99215 |
Prolong outpt/office vis |
560 |
537 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
465 |
464 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,420 |
2,394 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
336 |
335 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
988 |
980 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
832 |
805 |
$4K |
| 87428 |
|
773 |
762 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
263 |
258 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,712 |
1,686 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
166 |
166 |
$3K |
| 90686 |
|
952 |
946 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
971 |
482 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
119 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
116 |
116 |
$1K |
| 96127 |
|
1,472 |
1,432 |
$879.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
140 |
$357.02 |
| 90677 |
|
41 |
41 |
$298.04 |
| 99406 |
|
196 |
194 |
$285.31 |
| 81003 |
|
783 |
755 |
$200.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
31 |
$196.48 |
| 90656 |
|
48 |
48 |
$130.75 |
| 99484 |
|
12 |
12 |
$105.45 |
| 90715 |
|
13 |
13 |
$76.38 |
| 97802 |
|
33 |
33 |
$25.00 |
| 36416 |
|
12 |
12 |
$24.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
16 |
16 |
$6.94 |
| 3075F |
|
1,874 |
1,779 |
$0.00 |
| 3074F |
|
8,475 |
7,672 |
$0.00 |
| 3079F |
|
2,620 |
2,494 |
$0.00 |
| 90647 |
|
69 |
68 |
$0.00 |
| 86355 |
|
12 |
12 |
$0.00 |
| 3080F |
|
229 |
218 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 3078F |
|
8,212 |
7,456 |
$0.00 |
| 99173 |
|
434 |
432 |
$0.00 |
| 3077F |
|
840 |
795 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
400 |
397 |
$0.00 |
| 90670 |
|
114 |
112 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |