| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,211 |
5,869 |
$1.46M |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,460 |
1,107 |
$323K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
698 |
693 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
521 |
521 |
$122K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
713 |
701 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
302 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
264 |
264 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
119 |
$29K |
| 90677 |
|
317 |
309 |
$9K |
| 90381 |
|
40 |
40 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
100 |
99 |
$5K |
| G9153 |
Mapcp demonstration - physician incentive pool |
73 |
73 |
$4K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
123 |
120 |
$4K |
| 90697 |
|
432 |
426 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
640 |
615 |
$2K |
| 81025 |
|
1,010 |
976 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
916 |
899 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,318 |
1,296 |
$2K |
| 90661 |
|
115 |
115 |
$954.30 |
| 81002 |
|
653 |
470 |
$630.43 |
| 90649 |
|
28 |
27 |
$472.44 |
| 83655 |
|
200 |
194 |
$465.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
136 |
135 |
$390.00 |
| 90473 |
|
239 |
235 |
$212.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
83 |
83 |
$144.08 |
| 85018 |
|
328 |
319 |
$142.74 |
| 90686 |
|
352 |
352 |
$104.43 |
| 99177 |
|
98 |
94 |
$67.34 |
| 87807 |
|
31 |
28 |
$53.60 |
| 81003 |
|
99 |
86 |
$37.65 |
| 90633 |
|
173 |
169 |
$32.24 |
| 90672 |
|
73 |
73 |
$23.99 |
| 96127 |
|
358 |
354 |
$0.37 |
| 3078F |
|
388 |
303 |
$0.34 |
| 3074F |
|
695 |
572 |
$0.07 |
| 90681 |
|
293 |
289 |
$0.00 |
| 99173 |
|
538 |
525 |
$0.00 |
| 1159F |
|
572 |
484 |
$0.00 |
| 1160F |
|
559 |
470 |
$0.00 |
| 90670 |
|
165 |
165 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 4120F |
|
42 |
38 |
$0.00 |
| 1126F |
|
83 |
67 |
$0.00 |
| 3079F |
|
65 |
64 |
$0.00 |
| 90723 |
|
17 |
17 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |