| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,696 |
3,074 |
$597K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,001 |
990 |
$158K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
469 |
459 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
284 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
96 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
237 |
233 |
$10K |
| 99177 |
|
1,038 |
1,027 |
$10K |
| 90686 |
|
781 |
778 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
147 |
142 |
$5K |
| 90651 |
|
271 |
269 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
166 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
69 |
$1K |
| 0001A |
|
17 |
17 |
$558.75 |
| 83655 |
|
41 |
41 |
$458.36 |
| 85018 |
|
186 |
186 |
$450.43 |
| 90734 |
|
41 |
41 |
$444.78 |
| 0002A |
|
12 |
12 |
$409.75 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
18 |
18 |
$270.00 |
| 80061 |
Lipid panel |
14 |
14 |
$187.46 |
| 90656 |
|
15 |
15 |
$163.80 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
53 |
$138.00 |
| 86580 |
|
14 |
14 |
$109.34 |
| 99173 |
|
42 |
42 |
$89.33 |