| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,934 |
47,853 |
$5.76M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,426 |
4,371 |
$447K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,290 |
4,219 |
$429K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,686 |
3,592 |
$371K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,258 |
3,217 |
$325K |
| 99381 |
|
119 |
113 |
$12K |
| 0071A |
|
294 |
290 |
$10K |
| 0072A |
|
186 |
185 |
$6K |
| 0001A |
|
345 |
341 |
$6K |
| 0002A |
|
292 |
283 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
45 |
$2K |
| 99429 |
|
13,993 |
13,760 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,002 |
10,842 |
$885.19 |
| 0004A |
|
29 |
29 |
$800.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,805 |
5,729 |
$169.37 |
| 92587 |
|
3,286 |
3,264 |
$140.08 |
| 91307 |
|
38 |
38 |
$116.34 |
| 90461 |
|
6,718 |
5,599 |
$101.77 |
| 83655 |
|
1,195 |
1,181 |
$30.52 |
| 92551 |
|
1,944 |
1,896 |
$29.49 |
| 97803 |
|
9,434 |
9,286 |
$23.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
217 |
217 |
$15.86 |
| 96160 |
|
4,183 |
4,128 |
$12.65 |
| 90670 |
|
1,730 |
1,707 |
$0.00 |
| 99051 |
|
1,715 |
1,658 |
$0.00 |
| 90710 |
|
1,159 |
1,146 |
$0.00 |
| 99173 |
|
5,473 |
5,394 |
$0.00 |
| 90715 |
|
292 |
289 |
$0.00 |
| 90633 |
|
1,448 |
1,427 |
$0.00 |
| 90734 |
|
324 |
324 |
$0.00 |
| 90621 |
|
115 |
115 |
$0.00 |
| 90671 |
|
1,636 |
1,600 |
$0.00 |
| 91300 |
|
580 |
546 |
$0.00 |
| 90380 |
|
30 |
29 |
$0.00 |
| 90697 |
|
1,770 |
1,747 |
$0.00 |
| 90698 |
|
1,102 |
1,081 |
$0.00 |
| 90680 |
|
2,076 |
2,045 |
$0.00 |
| 90686 |
|
3,533 |
3,481 |
$0.00 |
| 90651 |
|
1,170 |
1,158 |
$0.00 |
| 90744 |
|
287 |
286 |
$0.00 |
| 96127 |
|
3,590 |
3,332 |
$0.00 |
| 90619 |
|
679 |
672 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
546 |
527 |
$0.00 |
| 90620 |
|
184 |
184 |
$0.00 |
| 90696 |
|
233 |
230 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
115 |
$0.00 |
| 90381 |
|
77 |
77 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |