| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,552 |
6,050 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,907 |
3,246 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
313 |
305 |
$650.46 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
673 |
609 |
$630.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,002 |
949 |
$215.13 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
437 |
431 |
$56.16 |
| 90656 |
|
84 |
84 |
$10.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
317 |
307 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
181 |
$0.00 |
| 92552 |
|
69 |
69 |
$0.00 |
| 99173 |
|
187 |
185 |
$0.00 |
| 87420 |
|
28 |
25 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90670 |
|
16 |
16 |
$0.00 |
| 85018 |
|
250 |
242 |
$0.00 |
| 90677 |
|
139 |
139 |
$0.00 |
| 90686 |
|
128 |
126 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
141 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 90697 |
|
65 |
62 |
$0.00 |
| 90680 |
|
51 |
51 |
$0.00 |
| 96127 |
|
215 |
215 |
$0.00 |
| 87428 |
|
54 |
51 |
$0.00 |