| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,245 |
3,776 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,810 |
1,368 |
$121K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,846 |
5,961 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
676 |
501 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
597 |
497 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,391 |
1,868 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
374 |
221 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,103 |
874 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
278 |
173 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
83 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
36 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
849 |
594 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
66 |
49 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$1K |
| 99188 |
|
160 |
142 |
$1K |
| 85018 |
|
389 |
299 |
$780.41 |
| 90474 |
|
36 |
26 |
$472.50 |
| 90688 |
|
48 |
38 |
$434.66 |
| 90686 |
|
986 |
799 |
$274.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$232.64 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
18 |
13 |
$224.00 |
| 80061 |
Lipid panel |
12 |
12 |
$99.00 |
| 96127 |
|
15 |
15 |
$67.34 |
| 81003 |
|
61 |
45 |
$59.10 |
| 90670 |
|
333 |
259 |
$0.00 |
| 90648 |
|
269 |
203 |
$0.00 |
| 3078F |
|
39 |
35 |
$0.00 |
| 90671 |
|
50 |
43 |
$0.00 |
| 90685 |
|
14 |
12 |
$0.00 |
| 90633 |
|
30 |
25 |
$0.00 |
| 90723 |
|
83 |
63 |
$0.00 |
| 3008F |
|
48 |
44 |
$0.00 |
| 1036F |
|
38 |
32 |
$0.00 |
| 90680 |
|
49 |
37 |
$0.00 |
| 90697 |
|
62 |
42 |
$0.00 |
| 3074F |
|
43 |
38 |
$0.00 |