| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,040 |
24,642 |
$5.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,710 |
15,031 |
$860K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,402 |
3,822 |
$274K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,908 |
1,730 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
885 |
877 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
284 |
284 |
$19K |
| 99442 |
|
280 |
271 |
$11K |
| 90670 |
|
802 |
782 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
85 |
77 |
$4K |
| 98967 |
|
90 |
87 |
$3K |
| 90686 |
|
354 |
352 |
$3K |
| 90671 |
|
342 |
342 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
634 |
625 |
$2K |
| 90648 |
|
246 |
237 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
12 |
$2K |
| 90723 |
|
207 |
202 |
$1K |
| 90633 |
|
197 |
195 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
27 |
$1K |
| 90681 |
|
181 |
173 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
333 |
333 |
$1K |
| 90698 |
|
168 |
161 |
$1K |
| 90680 |
|
160 |
158 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90697 |
|
137 |
137 |
$1K |
| 90474 |
|
53 |
53 |
$516.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$491.39 |
| 96127 |
|
84 |
81 |
$235.07 |
| 90707 |
|
27 |
25 |
$159.96 |
| 90716 |
|
25 |
24 |
$148.04 |
| 96380 |
|
14 |
14 |
$132.40 |
| 90710 |
|
12 |
12 |
$121.46 |
| 0500F |
|
33 |
32 |
$0.00 |