| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,341 |
3,043 |
$655K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,106 |
2,779 |
$652K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,100 |
1,083 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
918 |
901 |
$177K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
770 |
757 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
410 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
397 |
387 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
112 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
53 |
$10K |
| 99383 |
|
37 |
37 |
$8K |
| 99384 |
|
31 |
31 |
$6K |
| G9153 |
Mapcp demonstration - physician incentive pool |
52 |
51 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
26 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,783 |
1,752 |
$316.81 |
| 83655 |
|
147 |
144 |
$208.52 |
| 85018 |
|
277 |
274 |
$172.50 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
104 |
102 |
$142.63 |
| 92551 |
|
461 |
455 |
$133.91 |
| 90688 |
|
13 |
12 |
$92.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$86.44 |
| 90633 |
|
392 |
386 |
$80.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
247 |
231 |
$42.66 |
| 90686 |
|
408 |
402 |
$16.42 |
| 90734 |
|
74 |
74 |
$0.00 |
| 90670 |
|
636 |
627 |
$0.00 |
| 90461 |
|
766 |
746 |
$0.00 |
| 90649 |
|
142 |
141 |
$0.00 |
| 99173 |
|
401 |
396 |
$0.00 |
| 90715 |
|
42 |
42 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90698 |
|
237 |
235 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90680 |
|
147 |
147 |
$0.00 |
| 36416 |
|
55 |
55 |
$0.00 |
| 90744 |
|
71 |
70 |
$0.00 |