| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,702 |
6,529 |
$487K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,944 |
3,717 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,131 |
1,785 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
745 |
393 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
248 |
144 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
93 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
169 |
92 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
76 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
56 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
78 |
$2K |
| 36416 |
|
913 |
547 |
$2K |
| 92551 |
|
435 |
251 |
$1K |
| 85018 |
|
1,285 |
732 |
$1K |
| 99173 |
|
979 |
538 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
234 |
131 |
$1K |
| 90473 |
|
115 |
79 |
$568.96 |
| 90686 |
|
662 |
571 |
$266.58 |
| 99177 |
|
47 |
26 |
$189.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
15 |
$116.00 |
| 90474 |
|
20 |
12 |
$69.86 |
| 90672 |
|
142 |
119 |
$5.51 |
| 90461 |
|
22 |
15 |
$5.00 |
| 90698 |
|
52 |
44 |
$0.07 |
| 90656 |
|
42 |
42 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,508 |
1,374 |
$0.00 |
| 3078F |
|
2,170 |
1,982 |
$0.00 |
| 1159F |
|
233 |
228 |
$0.00 |
| 90670 |
|
33 |
29 |
$0.00 |
| 3008F |
|
2,356 |
2,160 |
$0.00 |
| 2001F |
|
2,358 |
2,162 |
$0.00 |
| 1036F |
|
2,742 |
2,514 |
$0.00 |
| 3074F |
|
2,204 |
2,010 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,533 |
1,400 |
$0.00 |
| 1111F |
|
1,472 |
1,306 |
$0.00 |
| 1034F |
|
115 |
108 |
$0.00 |
| 1126F |
|
114 |
112 |
$0.00 |
| 90680 |
|
15 |
13 |
$0.00 |