| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,741 |
1,538 |
$343K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
150 |
$3K |
| 90686 |
|
63 |
63 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
330 |
310 |
$0.00 |
| 96161 |
|
41 |
40 |
$0.00 |
| 92551 |
|
26 |
26 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
201 |
186 |
$0.00 |
| 99173 |
|
27 |
27 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
193 |
193 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
64 |
$0.00 |