| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,886 |
8,383 |
$1.52M |
| 90651 |
|
275 |
206 |
$18K |
| 90620 |
|
198 |
171 |
$5K |
| 90734 |
|
286 |
255 |
$4K |
| 90716 |
|
214 |
189 |
$766.76 |
| 90633 |
|
194 |
151 |
$619.24 |
| 90715 |
|
81 |
71 |
$546.61 |
| 90700 |
|
63 |
42 |
$474.24 |
| 90670 |
|
234 |
219 |
$430.66 |
| 90707 |
|
116 |
100 |
$366.96 |
| 90696 |
|
37 |
28 |
$220.94 |
| 90723 |
|
125 |
119 |
$158.30 |
| 90680 |
|
87 |
78 |
$82.89 |
| 90648 |
|
200 |
185 |
$16.51 |
| 86580 |
|
284 |
258 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,041 |
4,767 |
$0.00 |
| 99058 |
|
693 |
584 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,006 |
872 |
$0.00 |
| 90686 |
|
732 |
730 |
$0.00 |
| 96127 |
|
143 |
122 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
175 |
142 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
50 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 99173 |
|
928 |
880 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
956 |
885 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
951 |
838 |
$0.00 |
| 94664 |
|
105 |
79 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
943 |
773 |
$0.00 |
| 96160 |
|
107 |
93 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
563 |
486 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
290 |
252 |
$0.00 |
| 97803 |
|
107 |
98 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |