| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,902 |
2,563 |
$578K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,007 |
1,793 |
$480K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,419 |
1,287 |
$164K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
302 |
302 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
163 |
163 |
$53K |
| 99383 |
|
115 |
115 |
$36K |
| 99382 |
|
97 |
97 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
102 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
69 |
$23K |
| 99384 |
|
65 |
65 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
592 |
584 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
355 |
347 |
$15K |
| 99381 |
|
34 |
34 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$4K |
| 0012A |
|
100 |
100 |
$4K |
| 0011A |
|
104 |
103 |
$4K |
| 96127 |
|
635 |
547 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
353 |
$295.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
481 |
459 |
$269.27 |
| 90686 |
|
42 |
41 |
$246.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
50 |
$112.74 |
| 99490 |
Ccm add 20min |
46 |
46 |
$99.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$16.84 |
| 83655 |
|
13 |
12 |
$12.19 |
| 90670 |
|
172 |
169 |
$0.01 |
| 90698 |
|
183 |
181 |
$0.01 |
| 90744 |
|
42 |
42 |
$0.01 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
124 |
122 |
$0.00 |
| 90461 |
|
139 |
139 |
$0.00 |
| 99173 |
|
135 |
135 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 3078F |
|
83 |
80 |
$0.00 |
| 90734 |
|
43 |
43 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 3074F |
|
102 |
99 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 36416 |
|
27 |
26 |
$0.00 |