| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,372 |
7,968 |
$1.73M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
479 |
437 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
448 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
828 |
693 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,934 |
1,822 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
57 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
362 |
336 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,788 |
804 |
$1K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
801 |
660 |
$620.74 |
| 86580 |
|
27 |
26 |
$193.41 |
| 90633 |
|
35 |
34 |
$189.43 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
822 |
684 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$0.00 |
| 90723 |
|
14 |
12 |
$0.00 |
| 90688 |
|
30 |
30 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 90682 |
|
27 |
27 |
$0.00 |
| 90670 |
|
306 |
283 |
$0.00 |
| 90648 |
|
84 |
81 |
$0.00 |
| 90710 |
|
32 |
32 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |