| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,083 |
6,250 |
$948K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,752 |
2,524 |
$449.93 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
61 |
$113.72 |
| 92551 |
|
285 |
284 |
$37.47 |
| 3074F |
|
1,155 |
1,072 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
976 |
942 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
868 |
817 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
288 |
$0.00 |
| 1101F |
|
194 |
184 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
54 |
$0.00 |
| 3079F |
|
252 |
245 |
$0.00 |
| 96127 |
|
25 |
24 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
50 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
54 |
$0.00 |
| 3078F |
|
751 |
706 |
$0.00 |
| 99173 |
|
238 |
237 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
40 |
$0.00 |
| 3288F |
|
513 |
492 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |