| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,636 |
17,954 |
$3.97M |
| 0503F |
|
317 |
245 |
$900.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,696 |
6,028 |
$446.69 |
| 99385 |
|
316 |
308 |
$276.32 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
481 |
456 |
$171.30 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
225 |
214 |
$171.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
227 |
$65.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,388 |
3,038 |
$51.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
208 |
205 |
$33.60 |
| 90619 |
|
130 |
126 |
$16.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
215 |
203 |
$15.70 |
| 81002 |
|
2,013 |
1,423 |
$5.20 |
| 85018 |
|
812 |
696 |
$4.64 |
| 81003 |
|
268 |
264 |
$2.18 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
90 |
$0.00 |
| 0502F |
|
3,977 |
2,663 |
$0.00 |
| 90671 |
|
99 |
91 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
670 |
637 |
$0.00 |
| 3078F |
|
7,585 |
6,323 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
240 |
224 |
$0.00 |
| 1159F |
|
7,018 |
5,779 |
$0.00 |
| 1160F |
|
7,060 |
5,818 |
$0.00 |
| 3077F |
|
285 |
254 |
$0.00 |
| 82948 |
|
15 |
15 |
$0.00 |
| 81025 |
|
348 |
327 |
$0.00 |
| 90707 |
|
29 |
29 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
93 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
47 |
$0.00 |
| 90715 |
|
45 |
45 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
263 |
260 |
$0.00 |
| 3079F |
|
1,561 |
1,420 |
$0.00 |
| 3080F |
|
179 |
165 |
$0.00 |
| 3075F |
|
806 |
752 |
$0.00 |
| 3074F |
|
8,267 |
6,852 |
$0.00 |
| 1126F |
|
4,994 |
4,386 |
$0.00 |
| 1125F |
|
637 |
613 |
$0.00 |
| 90651 |
|
82 |
77 |
$0.00 |
| 99383 |
|
68 |
65 |
$0.00 |
| 90656 |
|
81 |
75 |
$0.00 |
| 0500F |
|
589 |
554 |
$0.00 |
| 99384 |
|
77 |
76 |
$0.00 |
| 90723 |
|
102 |
99 |
$0.00 |
| 1170F |
|
54 |
51 |
$0.00 |
| 99386 |
|
190 |
180 |
$0.00 |
| 90716 |
|
52 |
48 |
$0.00 |
| 90686 |
|
59 |
55 |
$0.00 |
| 90647 |
|
58 |
57 |
$0.00 |