| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,559 |
12,605 |
$861K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,679 |
5,509 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,176 |
1,162 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,757 |
1,704 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,980 |
2,740 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
720 |
713 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,183 |
2,157 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,142 |
3,086 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
493 |
485 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
723 |
642 |
$591.24 |
| 99381 |
|
112 |
112 |
$433.60 |
| 90651 |
|
282 |
280 |
$229.34 |
| 90620 |
|
67 |
67 |
$180.20 |
| 92551 |
|
364 |
359 |
$135.09 |
| 90474 |
|
619 |
612 |
$129.00 |
| 90734 |
|
231 |
229 |
$128.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
37 |
$122.03 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$120.84 |
| 90832 |
Psychotherapy, 30 minutes with patient |
287 |
181 |
$99.54 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
25 |
$54.87 |
| 90715 |
|
63 |
62 |
$32.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
29 |
$20.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
15 |
$13.18 |
| 90723 |
|
958 |
950 |
$0.00 |
| 90647 |
|
941 |
925 |
$0.00 |
| 90688 |
|
942 |
918 |
$0.00 |
| 90716 |
|
186 |
182 |
$0.00 |
| 90696 |
|
104 |
103 |
$0.00 |
| 90700 |
|
161 |
160 |
$0.00 |
| 90707 |
|
206 |
200 |
$0.00 |
| 90633 |
|
577 |
574 |
$0.00 |
| 90670 |
|
1,232 |
1,214 |
$0.00 |
| 3725F |
|
400 |
394 |
$0.00 |
| 90710 |
|
103 |
101 |
$0.00 |
| 90681 |
|
619 |
612 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$0.00 |