| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,189 |
6,762 |
$680K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,126 |
6,932 |
$548K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,189 |
1,164 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,199 |
1,128 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,045 |
1,023 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
703 |
682 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,194 |
1,867 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,858 |
2,724 |
$39K |
| G9153 |
Mapcp demonstration - physician incentive pool |
1,118 |
1,087 |
$34K |
| 90461 |
|
1,266 |
1,255 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,028 |
2,011 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,791 |
1,721 |
$13K |
| 99188 |
|
544 |
513 |
$9K |
| 99381 |
|
72 |
70 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
64 |
$5K |
| 96127 |
|
378 |
365 |
$3K |
| 83655 |
|
141 |
133 |
$2K |
| 85018 |
|
608 |
569 |
$2K |
| 81003 |
|
225 |
216 |
$534.50 |
| 82465 |
|
36 |
36 |
$168.02 |
| 83718 |
|
14 |
14 |
$113.25 |
| 90670 |
|
93 |
93 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,663 |
1,660 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90686 |
|
143 |
142 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |