| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,444 |
3,950 |
$476K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,861 |
1,712 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,402 |
779 |
$48K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,191 |
509 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,235 |
1,346 |
$24K |
| 99384 |
|
173 |
104 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
466 |
233 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
58 |
$3K |
| 92551 |
|
681 |
359 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
41 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
29 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
24 |
12 |
$670.68 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
66 |
$661.99 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
14 |
$606.40 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$329.60 |
| 96127 |
|
101 |
80 |
$167.94 |
| 90686 |
|
840 |
441 |
$6.14 |
| 90651 |
|
384 |
222 |
$5.53 |
| 90734 |
|
540 |
322 |
$0.47 |
| 90715 |
|
202 |
127 |
$0.29 |
| 99173 |
|
567 |
523 |
$0.00 |
| 3078F |
|
3,985 |
2,199 |
$0.00 |
| 90670 |
|
21 |
16 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,032 |
1,081 |
$0.00 |
| 3074F |
|
4,026 |
2,234 |
$0.00 |
| 3008F |
|
3,665 |
2,085 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,041 |
1,084 |
$0.00 |
| 1036F |
|
2,364 |
1,077 |
$0.00 |
| 1111F |
|
491 |
278 |
$0.00 |
| 2001F |
|
3,664 |
2,084 |
$0.00 |
| 3075F |
|
65 |
31 |
$0.00 |
| 1034F |
|
265 |
158 |
$0.00 |
| 1035F |
|
265 |
158 |
$0.00 |
| 90620 |
|
175 |
106 |
$0.00 |
| 90656 |
|
41 |
40 |
$0.00 |
| 99172 |
|
46 |
43 |
$0.00 |
| 3079F |
|
62 |
28 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |