| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,075 |
2,686 |
$468K |
| 92551 |
|
368 |
367 |
$0.00 |
| 3008F |
|
355 |
355 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,161 |
1,065 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
53 |
$0.00 |
| 96127 |
|
62 |
62 |
$0.00 |
| 99173 |
|
379 |
378 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$0.00 |
| 96160 |
|
104 |
104 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |