| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,759 |
40,865 |
$6.83M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,872 |
4,428 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,560 |
5,990 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,767 |
8,710 |
$50K |
| 92551 |
|
11,660 |
8,028 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,329 |
2,098 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,251 |
5,117 |
$27K |
| 99173 |
|
11,746 |
7,716 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
473 |
410 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,728 |
1,330 |
$6K |
| 99383 |
|
597 |
444 |
$6K |
| 85018 |
|
3,570 |
2,531 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,032 |
12,223 |
$3K |
| 99381 |
|
1,705 |
1,588 |
$2K |
| 90648 |
|
3,312 |
2,996 |
$2K |
| 90670 |
|
3,165 |
2,852 |
$2K |
| 90677 |
|
102 |
97 |
$1K |
| 90723 |
|
2,845 |
2,574 |
$1K |
| 90633 |
|
1,484 |
1,219 |
$692.03 |
| 99382 |
|
128 |
97 |
$636.25 |
| 90461 |
|
7,224 |
5,468 |
$535.51 |
| 90716 |
|
1,025 |
862 |
$531.00 |
| 99384 |
|
83 |
70 |
$513.09 |
| 90707 |
|
502 |
436 |
$261.00 |
| 90681 |
|
1,524 |
1,409 |
$259.94 |
| 90696 |
|
536 |
415 |
$251.91 |
| 86580 |
|
187 |
126 |
$226.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
846 |
710 |
$203.07 |
| 90710 |
|
553 |
440 |
$189.00 |
| 90700 |
|
473 |
390 |
$153.00 |
| 90715 |
|
222 |
187 |
$137.07 |
| 3008F |
|
274 |
267 |
$45.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
143 |
$40.50 |
| 90651 |
|
75 |
58 |
$36.00 |
| 90734 |
|
60 |
36 |
$27.00 |
| 90713 |
|
18 |
15 |
$9.00 |
| 90619 |
|
22 |
16 |
$9.00 |
| 90649 |
|
18 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
66 |
$0.00 |