| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,970 |
4,294 |
$721K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,527 |
2,263 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,367 |
2,068 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
114 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
64 |
$6K |
| 99215 |
Prolong outpt/office vis |
48 |
43 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
79 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
54 |
44 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
188 |
186 |
$975.21 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
14 |
$270.03 |
| 96127 |
|
166 |
152 |
$267.75 |
| 90686 |
|
39 |
35 |
$252.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
15 |
$232.23 |
| 90670 |
|
20 |
19 |
$135.85 |
| 90633 |
|
12 |
12 |
$85.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |