| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,078 |
6,459 |
$996K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,456 |
5,254 |
$783K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,771 |
6,484 |
$482K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
342 |
336 |
$49K |
| 90832 |
Psychotherapy, 30 minutes with patient |
206 |
181 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
223 |
126 |
$24K |
| 99442 |
|
634 |
544 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
74 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
589 |
579 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
88 |
87 |
$7K |
| 80305 |
|
511 |
397 |
$5K |
| 87428 |
|
82 |
81 |
$5K |
| 99441 |
|
176 |
164 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
17 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
17 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
329 |
316 |
$1K |
| G9153 |
Mapcp demonstration - physician incentive pool |
54 |
53 |
$1K |
| 90686 |
|
291 |
289 |
$1K |
| 81025 |
|
270 |
267 |
$416.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
41 |
$209.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
133 |
$203.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$188.70 |
| 92552 |
|
65 |
64 |
$165.40 |
| 99406 |
|
16 |
16 |
$163.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
55 |
$121.80 |
| 90461 |
|
39 |
39 |
$60.57 |
| 81001 |
|
14 |
12 |
$4.40 |
| 90651 |
|
13 |
13 |
$0.00 |
| 99173 |
|
37 |
37 |
$0.00 |