| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,575 |
1,352 |
$258K |
| T1015 |
Clinic visit/encounter, all-inclusive |
830 |
794 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
445 |
427 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
459 |
424 |
$75K |
| 90686 |
|
736 |
727 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
172 |
170 |
$7K |
| 99177 |
|
591 |
585 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
89 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
84 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
164 |
160 |
$2K |
| 87428 |
|
47 |
46 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
28 |
$814.05 |
| 99173 |
|
393 |
392 |
$804.02 |
| 90651 |
|
63 |
62 |
$655.20 |
| 90656 |
|
60 |
60 |
$622.44 |
| 0071A |
|
14 |
14 |
$521.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
17 |
$297.68 |
| 85018 |
|
70 |
70 |
$151.65 |
| 90715 |
|
12 |
12 |
$131.04 |
| 83655 |
|
18 |
18 |
$121.10 |