| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,795 |
17,082 |
$1.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,782 |
6,451 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,435 |
7,924 |
$36K |
| 90686 |
|
742 |
739 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
326 |
326 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,424 |
1,391 |
$2K |
| 87428 |
|
523 |
516 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
292 |
289 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,183 |
1,174 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
84 |
$927.86 |
| 99215 |
Prolong outpt/office vis |
69 |
69 |
$891.45 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
76 |
$313.16 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
140 |
$280.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
46 |
$256.19 |
| 96127 |
|
486 |
337 |
$249.53 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
147 |
147 |
$162.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
45 |
$150.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
155 |
155 |
$112.56 |
| 81003 |
|
517 |
506 |
$102.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$46.92 |
| 0124A |
|
12 |
12 |
$38.88 |
| 90715 |
|
13 |
13 |
$32.84 |
| 82947 |
|
39 |
39 |
$16.30 |
| 36416 |
|
428 |
419 |
$0.00 |
| 91300 |
|
31 |
28 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |