| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
57,702 |
33,303 |
$4.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,897 |
10,151 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,588 |
15,827 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
660 |
259 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,435 |
835 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,926 |
1,097 |
$696.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,769 |
2,885 |
$502.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,243 |
1,638 |
$485.15 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,185 |
846 |
$339.51 |
| 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) |
132 |
122 |
$101.04 |
| 87807 |
|
471 |
219 |
$60.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
842 |
631 |
$43.55 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
92 |
$42.50 |
| 81002 |
|
1,080 |
500 |
$39.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
789 |
621 |
$32.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
305 |
216 |
$16.00 |
| 81025 |
|
50 |
26 |
$5.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
99 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
472 |
425 |
$0.00 |
| 81003 |
|
588 |
520 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
276 |
270 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
68 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
75 |
12 |
$0.00 |