| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,977 |
2,205 |
$443K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,282 |
1,139 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
389 |
321 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
231 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
202 |
201 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
292 |
270 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
148 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
73 |
$6K |
| 99000 |
|
211 |
198 |
$939.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
76 |
$69.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
637 |
632 |
$15.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
538 |
340 |
$15.68 |
| 92551 |
|
276 |
274 |
$1.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
194 |
193 |
$1.12 |
| 90686 |
|
187 |
187 |
$0.01 |
| 90656 |
|
17 |
17 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |
| 90651 |
|
44 |
44 |
$0.00 |
| 90633 |
|
84 |
84 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90670 |
|
73 |
72 |
$0.00 |
| 99173 |
|
324 |
323 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 90648 |
|
15 |
14 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |