| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,831 |
19,169 |
$3.12M |
| 0011A |
|
101 |
101 |
$4K |
| 0012A |
|
66 |
66 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,717 |
6,166 |
$567.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
844 |
795 |
$106.95 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$0.00 |
| 99442 |
|
1,511 |
1,410 |
$0.00 |
| 92081 |
|
352 |
347 |
$0.00 |
| 1159F |
|
596 |
557 |
$0.00 |
| 82948 |
|
134 |
121 |
$0.00 |
| 3078F |
|
218 |
209 |
$0.00 |
| 4025F |
|
164 |
140 |
$0.00 |
| 1160F |
|
596 |
557 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 4040F |
|
30 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
37 |
$0.00 |
| 3725F |
|
50 |
50 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$0.00 |
| 92551 |
|
429 |
424 |
$0.00 |
| 1036F |
|
496 |
446 |
$0.00 |
| 3044F |
|
394 |
353 |
$0.00 |
| 1126F |
|
405 |
376 |
$0.00 |
| 85018 |
|
517 |
512 |
$0.00 |
| 3008F |
|
635 |
594 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
523 |
$0.00 |
| 1125F |
|
96 |
94 |
$0.00 |
| 4010F |
|
115 |
96 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
176 |
171 |
$0.00 |
| 3079F |
|
98 |
94 |
$0.00 |
| 3074F |
|
244 |
234 |
$0.00 |
| 3352F |
|
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 1220F |
|
37 |
37 |
$0.00 |
| 1170F |
|
143 |
139 |
$0.00 |
| 82950 |
|
14 |
13 |
$0.00 |
| 3351F |
|
12 |
12 |
$0.00 |
| 1000F |
|
41 |
38 |
$0.00 |
| 4037F |
|
13 |
12 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |