| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,794 |
10,523 |
$2.38M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
906 |
899 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
186 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
147 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
227 |
$2K |
| 90461 |
|
162 |
162 |
$1K |
| 90686 |
|
499 |
488 |
$208.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
279 |
$96.71 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
208 |
201 |
$89.85 |
| 99173 |
|
178 |
178 |
$54.34 |
| 3074F |
|
51 |
47 |
$20.00 |
| 3078F |
|
42 |
39 |
$20.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,344 |
4,734 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,037 |
3,637 |
$0.00 |
| 96127 |
|
86 |
85 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| 3008F |
|
84 |
83 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$0.00 |
| 90734 |
|
62 |
62 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
38 |
37 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$0.00 |