| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,992 |
10,661 |
$2.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,490 |
5,418 |
$3K |
| 0012A |
|
68 |
67 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,017 |
900 |
$1K |
| 0011A |
|
41 |
41 |
$820.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,257 |
1,931 |
$87.95 |
| 90658 |
|
274 |
244 |
$59.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
288 |
275 |
$33.90 |
| 85018 |
|
93 |
81 |
$26.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
280 |
251 |
$17.00 |
| 99441 |
|
30 |
26 |
$6.00 |
| 82962 |
|
38 |
33 |
$5.91 |
| 81002 |
|
29 |
24 |
$3.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
133 |
$2.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
56 |
$0.00 |
| 82948 |
|
169 |
136 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 3079F |
|
53 |
43 |
$0.00 |
| 3074F |
|
48 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |