| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,165 |
11,838 |
$1.29M |
| 90656 |
|
163 |
157 |
$7.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,516 |
2,856 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,658 |
5,789 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,567 |
1,319 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
182 |
143 |
$0.00 |
| 90680 |
|
182 |
128 |
$0.00 |
| 90677 |
|
248 |
206 |
$0.00 |
| 90723 |
|
361 |
286 |
$0.00 |
| 90651 |
|
39 |
32 |
$0.00 |
| 90686 |
|
401 |
266 |
$0.00 |
| 90696 |
|
28 |
24 |
$0.00 |
| 90716 |
|
23 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
61 |
$0.00 |
| 90633 |
|
209 |
146 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
597 |
514 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,158 |
794 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
440 |
415 |
$0.00 |
| 90707 |
|
21 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
161 |
$0.00 |
| 90670 |
|
236 |
159 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
663 |
530 |
$0.00 |
| 90648 |
|
525 |
408 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
289 |
247 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
43 |
$0.00 |
| 90710 |
|
33 |
27 |
$0.00 |
| 90715 |
|
19 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
42 |
$0.00 |
| 90734 |
|
27 |
17 |
$0.00 |