| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,751 |
4,520 |
$942K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,291 |
1,227 |
$901.33 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
215 |
$534.87 |
| 99173 |
|
1,199 |
1,179 |
$438.18 |
| 3078F |
|
2,199 |
2,101 |
$380.00 |
| 3074F |
|
2,387 |
2,275 |
$355.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
342 |
332 |
$207.00 |
| 96127 |
|
281 |
272 |
$117.49 |
| 3079F |
|
15 |
15 |
$100.00 |
| 92551 |
|
380 |
367 |
$90.85 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
815 |
792 |
$27.73 |
| 90461 |
|
289 |
285 |
$0.03 |
| 1160F |
|
2,423 |
2,311 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 1159F |
|
1,863 |
1,782 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
44 |
$0.00 |
| 3725F |
|
156 |
150 |
$0.00 |
| 90649 |
|
53 |
53 |
$0.00 |
| 92552 |
|
570 |
566 |
$0.00 |
| 90658 |
|
18 |
18 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
299 |
293 |
$0.00 |
| 90734 |
|
32 |
32 |
$0.00 |
| 3008F |
|
2,413 |
2,309 |
$0.00 |
| 1036F |
|
1,080 |
1,026 |
$0.00 |
| 90686 |
|
161 |
161 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 1000F |
|
164 |
143 |
$0.00 |