| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
38,656 |
20,001 |
$3.96M |
| 90734 |
|
776 |
388 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,338 |
13,175 |
$2K |
| 0012A |
|
51 |
51 |
$2K |
| 0071A |
|
51 |
29 |
$2K |
| 96127 |
|
23,961 |
12,420 |
$1K |
| 0011A |
|
37 |
37 |
$1K |
| 90686 |
|
2,045 |
1,084 |
$1K |
| 90651 |
|
970 |
523 |
$856.76 |
| 90670 |
|
363 |
143 |
$362.12 |
| 90715 |
|
453 |
209 |
$292.66 |
| 90633 |
|
564 |
258 |
$214.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,602 |
878 |
$157.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
424 |
157 |
$112.49 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,512 |
873 |
$84.62 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,278 |
682 |
$77.87 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,664 |
970 |
$76.84 |
| 97802 |
|
5,648 |
2,988 |
$30.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,657 |
1,623 |
$25.65 |
| 93000 |
|
134 |
71 |
$22.15 |
| 99173 |
|
860 |
444 |
$7.45 |
| 90710 |
|
103 |
44 |
$6.40 |
| 81025 |
|
294 |
159 |
$2.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,293 |
1,044 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
511 |
368 |
$0.00 |
| 81002 |
|
536 |
307 |
$0.00 |
| 97803 |
|
14,613 |
6,619 |
$0.00 |
| 90685 |
|
15 |
14 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
96 |
40 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,289 |
2,340 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,643 |
964 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
20,304 |
9,477 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
143 |
113 |
$0.00 |
| 99383 |
|
106 |
54 |
$0.00 |
| 90647 |
|
92 |
37 |
$0.00 |
| 90696 |
|
94 |
31 |
$0.00 |
| 90723 |
|
71 |
24 |
$0.00 |
| 99384 |
|
24 |
12 |
$0.00 |