| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,875 |
5,657 |
$521K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,974 |
2,555 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,112 |
1,043 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
447 |
443 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
168 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
83 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
71 |
$6K |
| 0502F |
|
50 |
30 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |