| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,538 |
8,070 |
$1.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,598 |
3,290 |
$597.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,113 |
1,109 |
$396.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,944 |
1,842 |
$119.72 |
| 90461 |
|
664 |
662 |
$84.32 |
| 3008F |
|
1,245 |
1,239 |
$0.00 |
| 96161 |
|
278 |
277 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
473 |
464 |
$0.00 |
| 92551 |
|
1,138 |
1,136 |
$0.00 |
| 90686 |
|
242 |
242 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
299 |
299 |
$0.00 |
| 90680 |
|
32 |
32 |
$0.00 |
| 90698 |
|
56 |
56 |
$0.00 |
| 85018 |
|
37 |
37 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
353 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,036 |
1,031 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
529 |
529 |
$0.00 |
| 99173 |
|
1,206 |
1,204 |
$0.00 |
| 83655 |
|
69 |
69 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
176 |
176 |
$0.00 |
| 90670 |
|
116 |
116 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
594 |
590 |
$0.00 |
| 3725F |
|
242 |
241 |
$0.00 |
| 1003F |
|
321 |
319 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
46 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |