| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,503 |
8,834 |
$4.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,427 |
2,779 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,496 |
1,273 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,784 |
1,361 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,020 |
804 |
$10K |
| 0012A |
|
157 |
153 |
$5K |
| 0011A |
|
155 |
149 |
$3K |
| 0071A |
|
13 |
12 |
$480.00 |
| 90674 |
|
18 |
15 |
$338.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
128 |
105 |
$120.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
60 |
$112.77 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
40 |
37 |
$19.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 91301 |
|
338 |
321 |
$0.00 |
| 91307 |
|
13 |
12 |
$0.00 |