| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,828 |
21,597 |
$2.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,316 |
9,701 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,418 |
3,928 |
$435K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,609 |
3,538 |
$350K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,478 |
3,370 |
$326K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,687 |
2,652 |
$264K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,646 |
2,520 |
$248K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,910 |
1,610 |
$56K |
| G9153 |
Mapcp demonstration - physician incentive pool |
693 |
692 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
164 |
162 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
169 |
166 |
$4K |
| 90461 |
|
138 |
135 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$3K |
| 0071A |
|
12 |
12 |
$480.00 |
| 0001A |
|
12 |
12 |
$400.00 |
| 90670 |
|
55 |
55 |
$0.00 |
| 90633 |
|
34 |
34 |
$0.00 |
| 90707 |
|
39 |
39 |
$0.00 |
| 90672 |
|
55 |
54 |
$0.00 |
| 90734 |
|
30 |
29 |
$0.00 |
| 90686 |
|
175 |
174 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |