| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,313 |
18,868 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,397 |
6,214 |
$560K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,767 |
1,552 |
$139K |
| T1015 |
Clinic visit/encounter, all-inclusive |
17,578 |
13,647 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,131 |
1,008 |
$91K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,168 |
2,609 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,892 |
4,183 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
477 |
403 |
$38K |
| 99215 |
Prolong outpt/office vis |
79 |
65 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
150 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
69 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
43 |
$4K |
| 59425 |
|
31 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
115 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
26 |
$1K |
| 81002 |
|
407 |
255 |
$1K |
| 90686 |
|
685 |
586 |
$400.94 |
| 90670 |
|
1,007 |
887 |
$368.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
13 |
$262.41 |
| 90698 |
|
418 |
364 |
$121.26 |
| 90651 |
|
16 |
14 |
$0.00 |
| 90744 |
|
116 |
101 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
49 |
46 |
$0.00 |
| 90632 |
|
18 |
12 |
$0.00 |
| 1111F |
|
16 |
15 |
$0.00 |
| 90734 |
|
18 |
14 |
$0.00 |
| 90633 |
|
352 |
296 |
$0.00 |
| 90710 |
|
118 |
102 |
$0.00 |
| 99442 |
|
18 |
17 |
$0.00 |