| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,777 |
25,643 |
$5.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,270 |
12,982 |
$5K |
| 3079F |
|
4,362 |
4,129 |
$5K |
| 3074F |
|
8,485 |
7,981 |
$4K |
| 0011A |
|
157 |
150 |
$4K |
| 3078F |
|
6,092 |
5,773 |
$4K |
| 3075F |
|
1,542 |
1,485 |
$2K |
| 3077F |
|
1,071 |
986 |
$2K |
| 0012A |
|
59 |
59 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
527 |
521 |
$912.62 |
| 3080F |
|
755 |
705 |
$905.00 |
| 0001A |
|
28 |
28 |
$880.00 |
| 99173 |
|
1,623 |
1,599 |
$742.66 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
428 |
423 |
$691.71 |
| 92551 |
|
1,161 |
1,142 |
$661.64 |
| 0064A |
|
15 |
15 |
$600.00 |
| 0072A |
|
14 |
14 |
$560.00 |
| 0013A |
|
13 |
13 |
$480.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,077 |
2,903 |
$423.58 |
| 96127 |
|
2,455 |
2,328 |
$215.27 |
| 3725F |
|
4,595 |
3,986 |
$207.92 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
296 |
294 |
$173.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
81 |
$76.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,069 |
1,058 |
$25.51 |
| G0008 |
Administration of influenza virus vaccine |
67 |
67 |
$20.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
487 |
483 |
$0.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
260 |
257 |
$0.01 |
| 1159F |
|
9,867 |
9,129 |
$0.00 |
| 1160F |
|
12,834 |
11,841 |
$0.00 |
| 80305 |
|
202 |
186 |
$0.00 |
| 99051 |
|
88 |
86 |
$0.00 |
| 92552 |
|
329 |
327 |
$0.00 |
| 90461 |
|
122 |
120 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
72 |
71 |
$0.00 |
| 81002 |
|
55 |
53 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
551 |
497 |
$0.00 |
| 90658 |
|
83 |
82 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 97803 |
|
57 |
55 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
158 |
156 |
$0.00 |
| 1036F |
|
7,625 |
7,048 |
$0.00 |
| 3008F |
|
15,247 |
14,112 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
41 |
$0.00 |
| 1034F |
|
1,556 |
1,408 |
$0.00 |
| 90651 |
|
49 |
49 |
$0.00 |
| 90686 |
|
322 |
321 |
$0.00 |
| 99383 |
|
39 |
39 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| 90674 |
|
73 |
37 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 97802 |
|
25 |
24 |
$0.00 |
| 91301 |
|
27 |
27 |
$0.00 |