| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,346 |
3,556 |
$854K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
516 |
501 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
206 |
196 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
102 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
539 |
505 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
341 |
284 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
652 |
609 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
16 |
$342.38 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
34 |
$309.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
307 |
283 |
$31.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
64 |
62 |
$0.00 |
| 90686 |
|
28 |
27 |
$0.00 |
| 90723 |
|
70 |
67 |
$0.00 |
| 90648 |
|
281 |
270 |
$0.00 |
| 90670 |
|
458 |
432 |
$0.00 |
| 90461 |
|
542 |
505 |
$0.00 |
| 90633 |
|
119 |
114 |
$0.00 |
| 90710 |
|
38 |
37 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90734 |
|
18 |
12 |
$0.00 |