| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,608 |
15,416 |
$3.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,813 |
14,805 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,416 |
1,788 |
$20K |
| 92551 |
|
2,733 |
2,093 |
$7K |
| 92552 |
|
749 |
526 |
$2K |
| 90686 |
|
669 |
552 |
$2K |
| 99173 |
|
3,215 |
2,451 |
$991.92 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
225 |
155 |
$936.69 |
| 96127 |
|
758 |
579 |
$841.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
333 |
$754.28 |
| 85018 |
|
1,607 |
1,200 |
$591.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
987 |
756 |
$383.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
52 |
$308.70 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
291 |
216 |
$280.71 |
| 81001 |
|
1,051 |
742 |
$252.07 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
12 |
$186.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
204 |
169 |
$135.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
100 |
$106.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
150 |
$69.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
48 |
$62.41 |
| 81000 |
|
420 |
259 |
$10.64 |
| 3079F |
|
2,293 |
1,515 |
$0.00 |
| 3074F |
|
11,173 |
7,092 |
$0.00 |
| 3075F |
|
1,052 |
727 |
$0.00 |
| 3080F |
|
322 |
219 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
15 |
$0.00 |
| 90651 |
|
40 |
25 |
$0.00 |
| 86580 |
|
71 |
46 |
$0.00 |
| 3077F |
|
1,009 |
651 |
$0.00 |
| 3078F |
|
10,414 |
6,602 |
$0.00 |
| 99442 |
|
428 |
393 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
17 |
$0.00 |
| 81003 |
|
36 |
27 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |