| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,179 |
8,970 |
$1.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,013 |
4,884 |
$395.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$78.09 |
| 1159F |
|
2,446 |
2,179 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
233 |
230 |
$0.00 |
| 1160F |
|
2,464 |
2,198 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
466 |
365 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
187 |
153 |
$0.00 |
| 3078F |
|
2,683 |
2,459 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
100 |
96 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
159 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90707 |
|
27 |
26 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
134 |
$0.00 |
| 90715 |
|
52 |
51 |
$0.00 |
| 3077F |
|
72 |
67 |
$0.00 |
| 90734 |
|
19 |
18 |
$0.00 |
| 3074F |
|
3,055 |
2,776 |
$0.00 |
| 1126F |
|
1,591 |
1,469 |
$0.00 |
| 3079F |
|
684 |
633 |
$0.00 |
| 85018 |
|
224 |
171 |
$0.00 |
| 3075F |
|
179 |
172 |
$0.00 |
| 90716 |
|
15 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$0.00 |
| 90619 |
|
126 |
123 |
$0.00 |
| 90686 |
|
156 |
132 |
$0.00 |
| 99383 |
|
27 |
27 |
$0.00 |
| 1125F |
|
72 |
66 |
$0.00 |
| 3080F |
|
68 |
63 |
$0.00 |
| 99384 |
|
38 |
38 |
$0.00 |
| 90651 |
|
84 |
81 |
$0.00 |
| 1170F |
|
70 |
68 |
$0.00 |