| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
937 |
862 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
109 |
107 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
52 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
97 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
18 |
16 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
155 |
151 |
$1K |
| 87428 |
|
16 |
16 |
$870.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$141.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$66.14 |
| 96127 |
|
14 |
14 |
$24.90 |