| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,813 |
8,559 |
$539K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,164 |
5,724 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,294 |
3,098 |
$201K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
86 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
72 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$3K |
| 90686 |
|
174 |
172 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
75 |
$601.22 |
| 36415 |
Collection of venous blood by venipuncture |
149 |
142 |
$480.80 |
| 90670 |
|
60 |
60 |
$479.68 |
| 96127 |
|
93 |
87 |
$399.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
44 |
$286.42 |
| 90651 |
|
13 |
13 |
$85.86 |
| 90734 |
|
12 |
12 |
$79.01 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
150 |
134 |
$8.21 |
| 3008F |
|
34 |
34 |
$0.00 |