| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,561 |
11,429 |
$606K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,031 |
3,696 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,273 |
4,810 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
510 |
459 |
$1K |
| 0012A |
|
29 |
29 |
$1K |
| 90686 |
|
268 |
266 |
$962.73 |
| 0011A |
|
26 |
26 |
$924.35 |
| 98966 |
|
1,334 |
1,206 |
$726.57 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
110 |
$678.68 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
91 |
$671.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
358 |
296 |
$308.62 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
110 |
109 |
$271.88 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$270.33 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$218.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
114 |
$159.52 |
| 90656 |
|
12 |
12 |
$146.40 |
| 87428 |
|
27 |
27 |
$120.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$23.28 |
| G9002 |
Coordinated care fee, maintenance rate |
279 |
275 |
$0.48 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
190 |
186 |
$0.21 |
| G9007 |
Coordinated care fee, scheduled team conference |
121 |
117 |
$0.03 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
20 |
20 |
$0.00 |
| 91301 |
|
55 |
50 |
$0.00 |
| 99173 |
|
32 |
26 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 81002 |
|
16 |
16 |
$0.00 |