| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,299 |
3,723 |
$518K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,146 |
1,627 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
397 |
334 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
595 |
497 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
338 |
162 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
187 |
108 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
144 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$898.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$584.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
721 |
589 |
$386.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
786 |
686 |
$57.10 |
| 87428 |
|
448 |
392 |
$25.99 |
| 90461 |
|
429 |
370 |
$20.13 |
| 87807 |
|
82 |
77 |
$0.00 |
| 1111F |
|
14 |
12 |
$0.00 |
| 90677 |
|
68 |
55 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
81 |
63 |
$0.00 |
| 90697 |
|
33 |
26 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |