| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,991 |
2,356 |
$127K |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,026 |
4,350 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,971 |
1,487 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
611 |
544 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
384 |
340 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
504 |
396 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
309 |
276 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
453 |
356 |
$23K |
| 87634 |
|
303 |
246 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
744 |
591 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
946 |
790 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
510 |
460 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
265 |
209 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
86 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
381 |
144 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
159 |
120 |
$925.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
16 |
$920.52 |
| 36415 |
Collection of venous blood by venipuncture |
245 |
209 |
$853.63 |
| 90686 |
|
232 |
164 |
$692.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
41 |
$462.58 |
| 90474 |
|
29 |
28 |
$405.00 |
| 96127 |
|
99 |
68 |
$389.18 |
| 87807 |
|
19 |
13 |
$156.70 |
| 36416 |
|
70 |
59 |
$148.13 |
| 99188 |
|
19 |
13 |
$119.02 |
| 83655 |
|
26 |
19 |
$115.24 |
| 85018 |
|
39 |
31 |
$45.79 |
| 99000 |
|
16 |
16 |
$35.34 |
| 90656 |
|
16 |
15 |
$18.00 |
| 96161 |
|
16 |
15 |
$17.29 |
| 90671 |
|
86 |
76 |
$0.00 |
| 1159F |
|
61 |
49 |
$0.00 |
| 1160F |
|
59 |
48 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90677 |
|
58 |
58 |
$0.00 |
| 90651 |
|
17 |
12 |
$0.00 |
| 90680 |
|
29 |
28 |
$0.00 |
| 90697 |
|
34 |
33 |
$0.00 |