| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,340 |
4,969 |
$759K |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,450 |
4,813 |
$308K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,578 |
1,553 |
$239K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
134 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
45 |
41 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
246 |
242 |
$3K |
| 90686 |
|
203 |
202 |
$1K |
| 87428 |
|
13 |
13 |
$793.60 |
| 0012A |
|
17 |
14 |
$680.00 |
| 0011A |
|
17 |
17 |
$680.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
160 |
$518.74 |
| 85018 |
|
1,038 |
1,003 |
$398.23 |
| 99441 |
|
24 |
19 |
$368.77 |
| 90630 |
|
20 |
20 |
$333.64 |
| 90656 |
|
13 |
13 |
$214.44 |
| 90688 |
|
13 |
13 |
$105.99 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
131 |
128 |
$103.36 |
| G9153 |
Mapcp demonstration - physician incentive pool |
13 |
13 |
$90.00 |
| 90461 |
|
12 |
12 |
$74.40 |
| 81003 |
|
34 |
30 |
$14.12 |
| 3078F |
|
13 |
13 |
$0.09 |
| 3074F |
|
12 |
12 |
$0.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$0.00 |
| 91301 |
|
69 |
68 |
$0.00 |