| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
801 |
768 |
$151K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,302 |
1,183 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
474 |
456 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
122 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$2K |
| 0012A |
|
18 |
18 |
$720.00 |
| 0011A |
|
16 |
16 |
$616.94 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$436.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$66.52 |
| 1160F |
|
36 |
36 |
$0.00 |
| 1159F |
|
260 |
250 |
$0.00 |
| 3078F |
|
48 |
47 |
$0.00 |
| 1126F |
|
67 |
66 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |
| 1170F |
|
53 |
51 |
$0.00 |
| 3074F |
|
116 |
112 |
$0.00 |