| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,388 |
11,186 |
$2.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,336 |
6,002 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,107 |
2,613 |
$10K |
| 99215 |
Prolong outpt/office vis |
639 |
551 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
288 |
272 |
$672.23 |
| 85018 |
|
1,152 |
1,109 |
$189.55 |
| 92551 |
|
611 |
587 |
$155.82 |
| 1111F |
|
1,580 |
1,423 |
$68.64 |
| 99173 |
|
607 |
583 |
$51.85 |
| 99000 |
|
110 |
108 |
$34.88 |
| 90686 |
|
227 |
223 |
$27.00 |
| 3078F |
|
622 |
594 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
68 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
910 |
879 |
$0.00 |
| 90670 |
|
45 |
43 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$0.00 |
| 90648 |
|
48 |
47 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
15 |
14 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
90 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 1036F |
|
1,341 |
1,174 |
$0.00 |
| 3008F |
|
2,299 |
1,989 |
$0.00 |
| 3074F |
|
790 |
759 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
84 |
84 |
$0.00 |
| 3079F |
|
216 |
211 |
$0.00 |
| 2001F |
|
2,299 |
1,989 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
948 |
918 |
$0.00 |
| 90656 |
|
77 |
77 |
$0.00 |
| 3048F |
|
40 |
39 |
$0.00 |
| 90723 |
|
40 |
39 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 81005 |
|
14 |
12 |
$0.00 |