| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,658 |
1,559 |
$374K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,220 |
1,074 |
$258K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
478 |
472 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
452 |
439 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
313 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
298 |
289 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
275 |
267 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,497 |
1,282 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
203 |
203 |
$8K |
| G9153 |
Mapcp demonstration - physician incentive pool |
118 |
116 |
$7K |
| 90677 |
|
69 |
67 |
$257.25 |
| 92552 |
|
74 |
70 |
$89.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
120 |
$64.45 |
| 96127 |
|
52 |
50 |
$35.55 |
| 85018 |
|
616 |
605 |
$28.27 |
| 88738 |
|
415 |
407 |
$21.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
27 |
$14.52 |
| 36416 |
|
468 |
456 |
$8.25 |
| 99173 |
|
299 |
291 |
$0.00 |
| 1160F |
|
229 |
216 |
$0.00 |
| 90461 |
|
426 |
410 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
117 |
$0.00 |
| 90649 |
|
50 |
49 |
$0.00 |
| 1159F |
|
235 |
222 |
$0.00 |
| 3078F |
|
120 |
115 |
$0.00 |
| 90670 |
|
103 |
101 |
$0.00 |
| 90633 |
|
90 |
90 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 3074F |
|
129 |
124 |
$0.00 |
| 3008F |
|
136 |
127 |
$0.00 |
| 90686 |
|
120 |
114 |
$0.00 |
| 92551 |
|
196 |
187 |
$0.00 |
| 90698 |
|
77 |
74 |
$0.00 |
| 90680 |
|
15 |
13 |
$0.00 |
| 90656 |
|
47 |
47 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |