| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,018 |
2,653 |
$652K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,244 |
1,168 |
$18K |
| 99051 |
|
313 |
305 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
192 |
$40.00 |
| 96127 |
|
39 |
37 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
184 |
$0.00 |
| 96161 |
|
190 |
186 |
$0.00 |
| 36416 |
|
148 |
146 |
$0.00 |
| 85018 |
|
148 |
146 |
$0.00 |
| 92551 |
|
104 |
103 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
110 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
497 |
473 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
426 |
$0.00 |
| 99173 |
|
164 |
164 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |