| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,181 |
8,317 |
$897K |
| 3725F |
|
182 |
143 |
$0.00 |
| 3078F |
|
476 |
371 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
56 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
65 |
$0.00 |
| 80305 |
|
14 |
12 |
$0.00 |
| 90658 |
|
31 |
30 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
38 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,032 |
3,165 |
$0.00 |
| 3008F |
|
3,539 |
2,710 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,473 |
2,726 |
$0.00 |
| 1000F |
|
20 |
20 |
$0.00 |
| 1036F |
|
1,416 |
1,148 |
$0.00 |
| 1035F |
|
14 |
13 |
$0.00 |
| 1034F |
|
416 |
369 |
$0.00 |
| 3079F |
|
152 |
119 |
$0.00 |
| 3074F |
|
722 |
552 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
105 |
$0.00 |
| 90686 |
|
153 |
130 |
$0.00 |
| 2000F |
|
46 |
37 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
32 |
$0.00 |
| 4008F |
|
14 |
12 |
$0.00 |