| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
49,845 |
36,897 |
$4.18M |
| 0001A |
|
104 |
45 |
$3K |
| 0072A |
|
38 |
34 |
$2K |
| 0071A |
|
37 |
35 |
$1K |
| 90670 |
|
2,116 |
1,841 |
$1K |
| 90734 |
|
580 |
495 |
$831.90 |
| 90633 |
|
1,001 |
805 |
$322.85 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,598 |
2,233 |
$233.61 |
| 90651 |
|
205 |
189 |
$204.87 |
| S5190 |
Wellness assessment, performed by non-physician |
75 |
62 |
$179.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,573 |
1,323 |
$160.76 |
| 90715 |
|
217 |
164 |
$147.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,929 |
1,429 |
$127.50 |
| 86769 |
|
83 |
74 |
$126.39 |
| 90698 |
|
578 |
525 |
$96.14 |
| 90658 |
|
528 |
434 |
$34.94 |
| 90713 |
|
249 |
222 |
$33.53 |
| 90700 |
|
227 |
197 |
$30.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,288 |
27,889 |
$28.35 |
| 90680 |
|
1,128 |
953 |
$25.00 |
| 99173 |
|
2,532 |
2,132 |
$22.35 |
| 83655 |
|
808 |
626 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,086 |
1,794 |
$0.00 |
| 90648 |
|
613 |
507 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,041 |
1,774 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
346 |
289 |
$0.00 |
| 90710 |
|
676 |
600 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,534 |
1,353 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
178 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,013 |
909 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$0.00 |
| 90723 |
|
657 |
543 |
$0.00 |
| 36416 |
|
860 |
674 |
$0.00 |
| 85018 |
|
819 |
636 |
$0.00 |