| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,816 |
15,131 |
$3.75M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,149 |
1,115 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
472 |
469 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
313 |
309 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
196 |
179 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
966 |
949 |
$3K |
| 90461 |
|
228 |
221 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
53 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
39 |
$922.65 |
| 90686 |
|
787 |
761 |
$460.35 |
| 96127 |
|
458 |
451 |
$369.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,122 |
6,589 |
$302.61 |
| 3078F |
|
130 |
121 |
$240.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,689 |
5,423 |
$173.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
954 |
938 |
$162.88 |
| 99173 |
|
461 |
453 |
$131.67 |
| 3074F |
|
97 |
92 |
$120.00 |
| 90715 |
|
112 |
109 |
$85.23 |
| 36415 |
Collection of venous blood by venipuncture |
3,025 |
2,951 |
$69.26 |
| 3075F |
|
56 |
53 |
$60.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
618 |
581 |
$29.34 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
479 |
472 |
$0.00 |
| 90734 |
|
78 |
78 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
46 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
164 |
155 |
$0.00 |
| 3008F |
|
626 |
622 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 90651 |
|
38 |
38 |
$0.00 |
| 90656 |
|
129 |
129 |
$0.00 |