| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,943 |
13,158 |
$3.63M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,540 |
1,499 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,250 |
5,471 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,961 |
4,409 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
88 |
80 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
500 |
487 |
$3K |
| 99460 |
|
65 |
63 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
411 |
391 |
$2K |
| 90461 |
|
535 |
523 |
$1K |
| 99462 |
|
44 |
37 |
$776.37 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$356.72 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
717 |
663 |
$332.69 |
| 96127 |
|
261 |
242 |
$184.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
563 |
549 |
$61.34 |
| 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) |
235 |
217 |
$44.01 |
| 96161 |
|
186 |
180 |
$8.19 |
| 90670 |
|
414 |
397 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
40 |
$0.00 |
| 99173 |
|
103 |
103 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
33 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 0124A |
|
14 |
14 |
$0.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
12 |
12 |
$0.00 |
| 91322 |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$0.00 |
| 90680 |
|
244 |
235 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
189 |
181 |
$0.00 |
| 90723 |
|
256 |
245 |
$0.00 |
| 3008F |
|
308 |
308 |
$0.00 |
| 90656 |
|
93 |
93 |
$0.00 |
| 90686 |
|
774 |
758 |
$0.00 |
| 90647 |
|
244 |
233 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| 90677 |
|
31 |
31 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |