| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,178 |
17,379 |
$4.87M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,176 |
6,086 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,295 |
3,246 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,710 |
2,443 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,498 |
2,465 |
$34K |
| 90461 |
|
2,950 |
2,921 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,632 |
1,583 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,306 |
1,296 |
$21K |
| 99381 |
|
57 |
54 |
$702.80 |
| 99173 |
|
2,021 |
2,000 |
$589.38 |
| 96127 |
|
1,342 |
1,266 |
$492.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,260 |
2,115 |
$200.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,081 |
5,445 |
$147.99 |
| 99215 |
Prolong outpt/office vis |
1,409 |
1,345 |
$74.26 |
| 3074F |
|
18 |
18 |
$20.00 |
| 90647 |
|
994 |
983 |
$0.00 |
| 3008F |
|
2,099 |
2,084 |
$0.00 |
| 90686 |
|
2,009 |
1,981 |
$0.00 |
| 90696 |
|
183 |
183 |
$0.00 |
| 90651 |
|
398 |
395 |
$0.00 |
| 90723 |
|
967 |
954 |
$0.00 |
| 90677 |
|
428 |
422 |
$0.00 |
| 90680 |
|
1,287 |
1,268 |
$0.00 |
| 90697 |
|
408 |
404 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$0.00 |
| 90474 |
|
28 |
27 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90656 |
|
234 |
229 |
$0.00 |
| 90633 |
|
1,028 |
1,021 |
$0.00 |
| 90710 |
|
855 |
852 |
$0.00 |
| 90670 |
|
1,452 |
1,433 |
$0.00 |
| 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) |
326 |
303 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
602 |
593 |
$0.00 |
| 90734 |
|
322 |
319 |
$0.00 |
| 3078F |
|
17 |
17 |
$0.00 |
| 90715 |
|
53 |
52 |
$0.00 |
| 90700 |
|
157 |
156 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$0.00 |