| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,370 |
23,296 |
$2.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,400 |
10,568 |
$629K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,544 |
6,290 |
$544K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,232 |
1,220 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,089 |
1,081 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,057 |
5,013 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
627 |
612 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
400 |
391 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,237 |
1,135 |
$32K |
| 96127 |
|
1,767 |
1,706 |
$17K |
| 90461 |
|
392 |
390 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
455 |
453 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
162 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
77 |
$1K |
| 85018 |
|
344 |
340 |
$825.52 |
| 81003 |
|
266 |
255 |
$590.19 |
| 0071A |
|
13 |
13 |
$532.00 |
| 90686 |
|
1,165 |
1,163 |
$114.03 |
| 90656 |
|
109 |
109 |
$0.31 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |