| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,456 |
4,886 |
$656K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
547 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
107 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
74 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
56 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
296 |
264 |
$0.00 |
| 90715 |
|
19 |
13 |
$0.00 |
| 90461 |
|
91 |
83 |
$0.00 |
| 90734 |
|
38 |
30 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$0.00 |
| 96160 |
|
17 |
12 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
13 |
$0.00 |
| 90686 |
|
18 |
16 |
$0.00 |