| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,667 |
9,191 |
$448K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,153 |
10,621 |
$265K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,155 |
884 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
578 |
505 |
$12K |
| 92551 |
|
753 |
687 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
216 |
182 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
82 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
207 |
150 |
$2K |
| 99441 |
|
476 |
392 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
14 |
$755.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
79 |
$631.36 |
| 90734 |
|
44 |
40 |
$584.36 |
| 90686 |
|
382 |
311 |
$284.59 |
| 99173 |
|
175 |
151 |
$248.64 |
| 90723 |
|
14 |
13 |
$0.00 |
| 90670 |
|
15 |
14 |
$0.00 |
| 90633 |
|
49 |
43 |
$0.00 |