| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,218 |
2,108 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,767 |
2,696 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,411 |
1,389 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
477 |
475 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
416 |
415 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
257 |
257 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
167 |
165 |
$10K |
| 99051 |
|
282 |
281 |
$8K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
128 |
126 |
$2K |
| 90686 |
|
198 |
195 |
$561.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$333.78 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38 |
38 |
$315.55 |
| 92551 |
|
729 |
729 |
$299.62 |
| 99188 |
|
12 |
12 |
$198.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
187 |
185 |
$147.80 |
| 96127 |
|
192 |
192 |
$88.88 |
| 96160 |
|
192 |
192 |
$73.51 |
| 96161 |
|
37 |
37 |
$0.00 |
| 3008F |
|
552 |
548 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
168 |
168 |
$0.00 |
| 99173 |
|
104 |
104 |
$0.00 |
| G9920 |
Screening performed and negative |
229 |
229 |
$0.00 |
| 99177 |
|
72 |
72 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |