| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,652 |
12,136 |
$2.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,607 |
2,446 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
262 |
260 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
136 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
711 |
658 |
$5K |
| 92551 |
|
633 |
628 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
732 |
729 |
$671.33 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
241 |
240 |
$551.36 |
| 90686 |
|
350 |
349 |
$462.49 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$403.88 |
| 90651 |
|
175 |
175 |
$369.00 |
| 92552 |
|
106 |
106 |
$280.76 |
| 90734 |
|
61 |
60 |
$261.00 |
| 99173 |
|
908 |
906 |
$232.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
35 |
$167.08 |
| 90715 |
|
13 |
12 |
$108.00 |
| 86580 |
|
15 |
14 |
$43.49 |
| 81002 |
|
95 |
94 |
$20.01 |
| 85018 |
|
12 |
12 |
$4.10 |
| 1125F |
|
76 |
74 |
$0.00 |
| 3074F |
|
43 |
42 |
$0.00 |
| 1170F |
|
172 |
168 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 1126F |
|
60 |
58 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |
| 1160F |
|
182 |
176 |
$0.00 |
| 1159F |
|
205 |
200 |
$0.00 |
| 1158F |
|
102 |
98 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| 3078F |
|
66 |
62 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |