| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,040 |
12,941 |
$1.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,590 |
16,419 |
$893K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,329 |
5,011 |
$391K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,684 |
3,624 |
$332K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,994 |
2,959 |
$267K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,292 |
2,237 |
$201K |
| G9153 |
Mapcp demonstration - physician incentive pool |
2,660 |
2,652 |
$170K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,154 |
1,141 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
986 |
820 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
388 |
346 |
$15K |
| 99051 |
|
1,228 |
1,163 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
171 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
50 |
43 |
$2K |
| 99382 |
|
14 |
14 |
$1K |
| 99381 |
|
14 |
13 |
$1K |
| 0072A |
|
12 |
12 |
$480.00 |
| 90698 |
|
103 |
68 |
$0.43 |
| 90670 |
|
83 |
50 |
$0.38 |
| 91307 |
|
37 |
32 |
$0.00 |