| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,401 |
8,249 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,005 |
1,816 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,014 |
899 |
$183.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,556 |
1,417 |
$143.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,480 |
1,387 |
$0.00 |
| 90680 |
|
106 |
101 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
168 |
164 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
469 |
457 |
$0.00 |
| 90723 |
|
224 |
207 |
$0.00 |
| 90474 |
|
79 |
75 |
$0.00 |
| 90686 |
|
86 |
83 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
57 |
56 |
$0.00 |
| 87807 |
|
37 |
28 |
$0.00 |
| 90756 |
|
33 |
30 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
754 |
722 |
$0.00 |
| 90670 |
|
308 |
281 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,003 |
952 |
$0.00 |
| 90648 |
|
388 |
361 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90700 |
|
17 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$0.00 |
| 90671 |
|
119 |
116 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
179 |
174 |
$0.00 |
| 90633 |
|
39 |
36 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
15 |
$0.00 |
| 99307 |
|
64 |
64 |
$0.00 |