| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,231 |
43,562 |
$2.80M |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,397 |
3,918 |
$417K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,268 |
4,256 |
$353K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,764 |
3,747 |
$313K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,822 |
8,420 |
$301K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,179 |
3,175 |
$286K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,983 |
2,947 |
$232K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,170 |
8,107 |
$194K |
| 90461 |
|
3,529 |
3,516 |
$67K |
| 92552 |
|
6,217 |
6,208 |
$59K |
| 96127 |
|
6,890 |
6,694 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,078 |
6,066 |
$43K |
| G9153 |
Mapcp demonstration - physician incentive pool |
544 |
544 |
$30K |
| 99381 |
|
82 |
78 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
109 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
48 |
$4K |
| 99051 |
|
351 |
347 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$883.55 |
| 90710 |
|
893 |
892 |
$0.00 |
| 90671 |
|
357 |
357 |
$0.00 |
| 90670 |
|
1,881 |
1,877 |
$0.00 |
| 90633 |
|
1,510 |
1,504 |
$0.00 |
| 90700 |
|
268 |
268 |
$0.00 |
| 90734 |
|
1,006 |
1,005 |
$0.00 |
| 99173 |
|
202 |
202 |
$0.00 |
| 90715 |
|
423 |
422 |
$0.00 |
| 90621 |
|
163 |
163 |
$0.00 |
| 90723 |
|
1,044 |
1,040 |
$0.00 |
| 90647 |
|
1,432 |
1,427 |
$0.00 |
| 90680 |
|
1,264 |
1,259 |
$0.00 |
| 90651 |
|
959 |
957 |
$0.00 |
| 90697 |
|
489 |
489 |
$0.00 |
| 90696 |
|
478 |
478 |
$0.00 |
| 90686 |
|
608 |
608 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |