| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,785 |
3,310 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
147 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
115 |
$7K |
| 87428 |
|
115 |
109 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
82 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
475 |
457 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
113 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
13 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
372 |
363 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
25 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
92 |
$2K |
| 99051 |
|
25 |
25 |
$543.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
25 |
$268.71 |
| 81002 |
|
38 |
37 |
$78.35 |