| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,809 |
3,152 |
$536K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,578 |
1,062 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,359 |
904 |
$9K |
| 00003 |
Internal/system code - not a standard HCPCS code |
15 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,086 |
781 |
$1K |
| 36416 |
|
1,296 |
952 |
$872.69 |
| 0134A |
|
16 |
12 |
$776.60 |
| 90480 |
|
27 |
20 |
$680.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
212 |
$460.16 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
39 |
$334.17 |
| 90688 |
|
74 |
51 |
$313.78 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
31 |
$303.87 |
| 92552 |
|
170 |
125 |
$281.52 |
| 91322 |
|
19 |
16 |
$212.92 |
| 90658 |
|
15 |
15 |
$132.90 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
31 |
$38.48 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| D1310 |
|
12 |
12 |
$0.00 |
| D1330 |
|
12 |
12 |
$0.00 |
| 99173 |
|
181 |
133 |
$0.00 |
| 91313 |
|
17 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$0.00 |