| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,545 |
6,087 |
$1.40M |
| 90734 |
|
27 |
27 |
$142.67 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
566 |
566 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,581 |
2,452 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
320 |
319 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
634 |
633 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
166 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90670 |
|
108 |
107 |
$0.00 |
| 90685 |
|
42 |
42 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90686 |
|
502 |
502 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
340 |
329 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,010 |
993 |
$0.00 |
| 3008F |
|
1,109 |
1,068 |
$0.00 |
| 90677 |
|
66 |
66 |
$0.00 |
| 90647 |
|
14 |
13 |
$0.00 |
| 90651 |
|
81 |
81 |
$0.00 |
| 90697 |
|
26 |
26 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |