| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
4,443 |
2,756 |
$877K |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,612 |
4,487 |
$741K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
590 |
531 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
33 |
$0.00 |