| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
14,269 |
12,346 |
$999K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,485 |
9,128 |
$608K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,287 |
1,265 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,115 |
1,079 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
507 |
499 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
218 |
$20K |
| 99460 |
|
230 |
208 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
696 |
346 |
$9K |
| 90686 |
|
859 |
852 |
$7K |
| 90670 |
|
809 |
803 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
94 |
84 |
$3K |
| 90680 |
|
496 |
494 |
$3K |
| 90647 |
|
316 |
312 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
152 |
$2K |
| 90633 |
|
291 |
283 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
29 |
26 |
$1K |
| 90698 |
|
220 |
220 |
$1K |
| 90710 |
|
201 |
198 |
$1K |
| 99354 |
|
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$970.06 |
| 90723 |
|
118 |
116 |
$820.81 |
| 90685 |
|
90 |
89 |
$808.00 |
| 90700 |
|
111 |
111 |
$738.85 |
| 90648 |
|
132 |
130 |
$717.00 |
| 90688 |
|
82 |
82 |
$606.94 |
| 90744 |
|
88 |
88 |
$523.94 |
| 90651 |
|
63 |
62 |
$521.08 |
| 99462 |
|
14 |
12 |
$405.21 |
| 90658 |
|
64 |
64 |
$370.73 |
| 99442 |
|
18 |
17 |
$326.25 |
| 90734 |
|
49 |
49 |
$219.36 |
| 90715 |
|
35 |
35 |
$187.18 |
| 90655 |
|
20 |
20 |
$179.64 |
| 90656 |
|
12 |
12 |
$65.80 |
| 90696 |
|
12 |
12 |
$65.56 |
| 90473 |
|
97 |
93 |
$10.02 |
| 90649 |
|
14 |
14 |
$0.00 |