| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,627 |
16,622 |
$994K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,112 |
6,892 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,391 |
6,869 |
$25K |
| 90674 |
|
381 |
379 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
629 |
588 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,271 |
3,252 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,269 |
1,244 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
342 |
342 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,667 |
2,578 |
$880.68 |
| 90682 |
|
257 |
255 |
$769.02 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$583.34 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
92 |
$521.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
266 |
236 |
$308.77 |
| 90672 |
|
57 |
57 |
$134.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
312 |
311 |
$112.56 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
39 |
38 |
$87.15 |
| 90686 |
|
710 |
709 |
$78.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
49 |
$75.58 |
| 99442 |
|
33 |
33 |
$61.80 |
| 92551 |
|
165 |
162 |
$61.59 |
| 90473 |
|
64 |
64 |
$42.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
56 |
$41.07 |
| 0012A |
|
12 |
12 |
$37.85 |
| 0011A |
|
13 |
13 |
$37.85 |
| 81002 |
|
245 |
238 |
$28.54 |
| 90656 |
|
18 |
18 |
$22.35 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90670 |
|
123 |
123 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |
| 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) |
16 |
16 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 36416 |
|
552 |
550 |
$0.00 |
| 91301 |
|
37 |
37 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 3044F |
|
18 |
18 |
$0.00 |