| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,857 |
10,208 |
$1.84M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,505 |
3,769 |
$11.00 |
| 1126F |
|
2,436 |
2,022 |
$6.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,331 |
1,834 |
$5.00 |
| 85018 |
|
1,799 |
1,453 |
$2.00 |
| 86580 |
|
1,071 |
904 |
$2.00 |
| 81002 |
|
717 |
564 |
$1.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
432 |
238 |
$1.00 |
| 90620 |
|
57 |
42 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
458 |
450 |
$0.00 |
| 90686 |
|
2,129 |
1,802 |
$0.00 |
| 90698 |
|
83 |
67 |
$0.00 |
| 90651 |
|
672 |
547 |
$0.00 |
| 99381 |
|
16 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
192 |
128 |
$0.00 |
| 99383 |
|
336 |
319 |
$0.00 |
| 90680 |
|
31 |
27 |
$0.00 |
| 99384 |
|
358 |
345 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 3074F |
|
35 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 90715 |
|
287 |
228 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,524 |
1,908 |
$0.00 |
| 83655 |
|
401 |
334 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
95 |
$0.00 |
| 90670 |
|
296 |
231 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
195 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
64 |
$0.00 |
| 90461 |
|
724 |
502 |
$0.00 |
| 90633 |
|
55 |
39 |
$0.00 |
| 90734 |
|
700 |
576 |
$0.00 |
| 99382 |
|
107 |
94 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
81 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
66 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
27 |
$0.00 |