| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,633 |
7,987 |
$1.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,062 |
4,301 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
370 |
$841.41 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
443 |
437 |
$518.14 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
570 |
522 |
$331.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
820 |
788 |
$232.79 |
| 92552 |
|
51 |
51 |
$165.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
293 |
285 |
$20.00 |
| 85018 |
|
322 |
316 |
$3.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
77 |
$0.00 |
| 90677 |
|
88 |
88 |
$0.00 |
| 90697 |
|
59 |
59 |
$0.00 |
| 90656 |
|
64 |
64 |
$0.00 |
| 96127 |
|
382 |
374 |
$0.00 |
| 90688 |
|
115 |
115 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |
| 90619 |
|
55 |
55 |
$0.00 |
| 87428 |
|
76 |
75 |
$0.00 |
| 99173 |
|
146 |
145 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
467 |
452 |
$0.00 |
| 90670 |
|
30 |
30 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |