| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,528 |
4,981 |
$935K |
| 90686 |
|
660 |
466 |
$876.40 |
| 90670 |
|
298 |
167 |
$211.51 |
| 96127 |
|
3,330 |
2,174 |
$58.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,618 |
2,470 |
$46.56 |
| 81002 |
|
1,189 |
581 |
$26.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
202 |
151 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
440 |
260 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,410 |
564 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
325 |
209 |
$0.00 |
| 97803 |
|
2,332 |
1,621 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$0.00 |
| 59425 |
|
32 |
15 |
$0.00 |
| 90633 |
|
45 |
24 |
$0.00 |
| 99173 |
|
46 |
45 |
$0.00 |
| 59426 |
|
112 |
38 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,719 |
1,890 |
$0.00 |
| 97802 |
|
220 |
183 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
213 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,480 |
1,001 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
48 |
$0.00 |
| 90647 |
|
75 |
27 |
$0.00 |
| 90723 |
|
53 |
39 |
$0.00 |
| 90651 |
|
23 |
12 |
$0.00 |