| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,742 |
11,351 |
$5.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,975 |
5,052 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,012 |
2,440 |
$5K |
| 99215 |
Prolong outpt/office vis |
1,592 |
1,269 |
$2K |
| 90674 |
|
487 |
369 |
$949.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,785 |
2,749 |
$897.50 |
| 90715 |
|
214 |
172 |
$449.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,315 |
996 |
$294.74 |
| 90756 |
|
256 |
208 |
$194.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
197 |
170 |
$131.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
227 |
179 |
$97.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
60 |
$67.82 |
| 90685 |
|
131 |
60 |
$26.28 |
| 90686 |
|
115 |
101 |
$0.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
236 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
122 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
58 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
37 |
$0.00 |