| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,819 |
1,636 |
$75K |
| T1015 |
Clinic visit/encounter, all-inclusive |
160 |
116 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
185 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
296 |
$10K |
| 87428 |
|
98 |
94 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
19 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
114 |
$950.34 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$776.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
62 |
$545.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$423.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
47 |
47 |
$267.44 |
| 82962 |
|
167 |
145 |
$265.79 |
| 96127 |
|
44 |
43 |
$98.64 |