| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
49,352 |
33,926 |
$4.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,335 |
27,642 |
$514K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,848 |
2,202 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,561 |
1,862 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,452 |
1,887 |
$56K |
| 92081 |
|
4,496 |
4,462 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,063 |
934 |
$16K |
| G9920 |
Screening performed and negative |
857 |
819 |
$15K |
| 92551 |
|
4,431 |
4,389 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
545 |
481 |
$10K |
| 85014 |
|
3,058 |
3,029 |
$9K |
| 81005 |
|
3,886 |
3,799 |
$7K |
| 90686 |
|
1,264 |
1,257 |
$4K |
| 97802 |
|
751 |
741 |
$3K |
| 90670 |
|
456 |
454 |
$3K |
| 90700 |
|
426 |
425 |
$1K |
| 90648 |
|
260 |
259 |
$1K |
| 90713 |
|
270 |
266 |
$1K |
| 90633 |
|
249 |
247 |
$775.88 |
| 90707 |
|
263 |
257 |
$763.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
380 |
$436.77 |
| 90716 |
|
210 |
210 |
$401.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
26 |
$361.97 |
| 90680 |
|
67 |
67 |
$286.67 |
| 96127 |
|
560 |
494 |
$269.31 |
| 90651 |
|
214 |
209 |
$240.54 |
| 99188 |
|
30 |
30 |
$216.00 |
| 90723 |
|
24 |
24 |
$132.38 |
| 99401 |
|
28 |
28 |
$126.76 |
| 90734 |
|
191 |
191 |
$54.00 |
| 69210 |
|
12 |
12 |
$51.91 |
| 86580 |
|
165 |
165 |
$40.97 |
| 96156 |
|
284 |
275 |
$25.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,319 |
1,285 |
$0.00 |
| 4037F |
|
260 |
260 |
$0.00 |
| 00018 |
|
5,651 |
3,822 |
$0.00 |
| 3008F |
|
1,760 |
1,684 |
$0.00 |
| 90620 |
|
44 |
39 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
18 |
18 |
$0.00 |
| 18 |
F18 fdg |
12,075 |
8,341 |
$0.00 |
| 97803 |
|
1,058 |
1,039 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
16 |
16 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |