| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,324 |
11,926 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,690 |
1,627 |
$69K |
| T1015 |
Clinic visit/encounter, all-inclusive |
598 |
546 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
112 |
112 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
44 |
$5K |
| 92552 |
|
218 |
217 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
38 |
$1K |
| 96127 |
|
205 |
202 |
$891.93 |
| 81000 |
|
311 |
303 |
$792.06 |
| 99173 |
|
266 |
265 |
$784.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$711.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
71 |
$648.00 |
| 81002 |
|
72 |
72 |
$147.89 |
| 85018 |
|
31 |
31 |
$63.57 |
| 3008F |
|
4,084 |
3,594 |
$0.00 |
| 1125F |
|
3,137 |
2,841 |
$0.00 |
| 3075F |
|
330 |
318 |
$0.00 |
| 3074F |
|
1,951 |
1,770 |
$0.00 |
| 3079F |
|
1,096 |
1,040 |
$0.00 |
| 3080F |
|
658 |
595 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
64 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3078F |
|
1,910 |
1,752 |
$0.00 |
| 1159F |
|
3,056 |
2,759 |
$0.00 |
| 3077F |
|
1,375 |
1,266 |
$0.00 |