| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
57,547 |
45,497 |
$4.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,402 |
1,307 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,217 |
1,105 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
199 |
179 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
205 |
190 |
$8K |
| 11721 |
|
406 |
381 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
124 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 80305 |
|
177 |
151 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
45 |
41 |
$1K |
| 0012A |
|
29 |
29 |
$1K |
| 0011A |
|
42 |
42 |
$1K |
| 0001A |
|
27 |
27 |
$1K |
| 99243 |
|
15 |
15 |
$1K |
| 99177 |
|
12 |
12 |
$932.46 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
44 |
$896.10 |
| 0002A |
|
16 |
16 |
$552.16 |
| 97597 |
|
16 |
13 |
$330.55 |
| 3288F |
|
13 |
12 |
$0.00 |