| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,124 |
26,240 |
$6.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
345 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
261 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
109 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
301 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
59 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
48 |
$4K |
| 99188 |
|
27 |
27 |
$279.99 |
| 90656 |
|
67 |
67 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| 90647 |
|
46 |
46 |
$0.00 |
| 90723 |
|
31 |
31 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |