| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,334 |
18,899 |
$2.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,054 |
9,564 |
$105K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,348 |
878 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,259 |
2,419 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
212 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,274 |
908 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
278 |
202 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
90 |
$3K |
| 90686 |
|
139 |
128 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
13 |
$1K |
| 0012A |
|
13 |
13 |
$435.50 |
| 90700 |
|
42 |
39 |
$288.00 |
| 90648 |
|
40 |
37 |
$279.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
77 |
$224.34 |
| 90715 |
|
21 |
21 |
$216.24 |
| 92551 |
|
54 |
43 |
$67.32 |
| 99215 |
Prolong outpt/office vis |
58 |
42 |
$57.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
36 |
$41.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$36.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| Z1034 |
|
780 |
511 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
12 |
$0.00 |