| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,977 |
3,150 |
$487K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,497 |
1,878 |
$46.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
336 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
60 |
$0.00 |
| 90647 |
|
50 |
26 |
$0.00 |
| 90686 |
|
49 |
43 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
54 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
279 |
135 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,117 |
856 |
$0.00 |
| 81003 |
|
1,007 |
317 |
$0.00 |
| 0502F |
|
1,103 |
271 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
192 |
94 |
$0.00 |
| 81025 |
|
169 |
97 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
35 |
$0.00 |
| 90670 |
|
75 |
39 |
$0.00 |