| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,842 |
9,472 |
$511K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,924 |
4,343 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,425 |
2,947 |
$63K |
| 99215 |
Prolong outpt/office vis |
604 |
577 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
454 |
431 |
$10K |
| 99442 |
|
49 |
48 |
$676.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
86 |
$243.99 |
| 90686 |
|
26 |
26 |
$195.25 |
| 99441 |
|
24 |
24 |
$190.08 |
| 99406 |
|
28 |
27 |
$187.44 |
| 96127 |
|
74 |
72 |
$149.62 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
24 |
$127.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
47 |
$120.84 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
16 |
$65.83 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
43 |
$9.20 |
| 1159F |
|
2,706 |
2,507 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
941 |
876 |
$0.00 |
| 3078F |
|
1,340 |
1,287 |
$0.00 |
| 3077F |
|
569 |
548 |
$0.00 |
| 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) |
19 |
18 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
17 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 90670 |
|
15 |
13 |
$0.00 |
| 2010F |
|
2,714 |
2,518 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,676 |
1,564 |
$0.00 |
| 1000F |
|
1,444 |
1,345 |
$0.00 |
| 3075F |
|
422 |
415 |
$0.00 |
| 2000F |
|
2,662 |
2,477 |
$0.00 |
| 3074F |
|
1,638 |
1,552 |
$0.00 |
| 1125F |
|
1,013 |
939 |
$0.00 |
| 1126F |
|
1,470 |
1,410 |
$0.00 |
| 3079F |
|
923 |
888 |
$0.00 |
| 3080F |
|
326 |
313 |
$0.00 |
| 3008F |
|
2,457 |
2,286 |
$0.00 |
| 99172 |
|
20 |
20 |
$0.00 |