| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,409 |
7,438 |
$716K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
935 |
916 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
1,063 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
470 |
466 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
244 |
244 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
74 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$3K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 99177 |
|
484 |
479 |
$1K |
| 96127 |
|
1,895 |
1,291 |
$822.39 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$697.38 |
| 92551 |
|
908 |
901 |
$635.30 |
| 99174 |
|
132 |
132 |
$621.65 |
| 99401 |
|
28 |
28 |
$599.35 |
| 90686 |
|
216 |
215 |
$531.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$491.52 |
| 96160 |
|
483 |
387 |
$264.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
28 |
$241.30 |
| 90688 |
|
39 |
39 |
$161.76 |
| 83655 |
|
12 |
12 |
$134.22 |
| 90685 |
|
28 |
28 |
$71.72 |
| 36416 |
|
28 |
28 |
$54.60 |
| 90670 |
|
12 |
12 |
$49.09 |
| 90656 |
|
31 |
31 |
$29.81 |
| 94760 |
|
358 |
348 |
$23.14 |
| 99173 |
|
38 |
38 |
$7.17 |
| 96161 |
|
12 |
12 |
$6.24 |
| 99072 |
|
3,416 |
3,083 |
$0.00 |