| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,825 |
9,534 |
$892K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,063 |
1,999 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,057 |
1,993 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
605 |
596 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
608 |
601 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
241 |
239 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
67 |
$6K |
| 99177 |
|
541 |
529 |
$1K |
| 99174 |
|
181 |
179 |
$1K |
| 96127 |
|
2,257 |
1,436 |
$773.06 |
| 92551 |
|
842 |
826 |
$693.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
62 |
$600.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$464.62 |
| 96160 |
|
697 |
551 |
$376.77 |
| 87430 |
|
15 |
15 |
$256.28 |
| 90686 |
|
74 |
74 |
$176.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$152.10 |
| 99173 |
|
119 |
118 |
$79.16 |
| 94760 |
|
820 |
783 |
$43.01 |
| 90670 |
|
40 |
40 |
$29.70 |
| 81003 |
|
13 |
13 |
$28.08 |
| 90688 |
|
18 |
18 |
$19.69 |
| 36416 |
|
12 |
12 |
$16.64 |
| 90656 |
|
18 |
18 |
$16.24 |
| 90648 |
|
14 |
14 |
$6.26 |
| 90677 |
|
12 |
12 |
$5.24 |
| 96161 |
|
30 |
25 |
$4.68 |
| 99072 |
|
3,988 |
3,594 |
$0.00 |