| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,677 |
9,242 |
$1.64M |
| 90651 |
|
329 |
295 |
$12K |
| 90620 |
|
203 |
171 |
$8K |
| 90734 |
|
358 |
323 |
$4K |
| 90716 |
|
241 |
207 |
$2K |
| 90707 |
|
226 |
192 |
$1K |
| 90715 |
|
157 |
143 |
$675.45 |
| 90670 |
|
341 |
305 |
$648.57 |
| 90696 |
|
54 |
41 |
$431.53 |
| 90633 |
|
217 |
194 |
$233.19 |
| 90648 |
|
309 |
274 |
$6.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,675 |
4,560 |
$0.00 |
| 90686 |
|
813 |
799 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,300 |
1,176 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
102 |
$0.00 |
| 96127 |
|
69 |
53 |
$0.00 |
| 97802 |
|
122 |
118 |
$0.00 |
| 90680 |
|
104 |
89 |
$0.00 |
| 90723 |
|
163 |
144 |
$0.00 |
| 86580 |
|
133 |
121 |
$0.00 |
| 99058 |
|
397 |
325 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
84 |
59 |
$0.00 |
| 99173 |
|
2,579 |
2,462 |
$0.00 |
| 96160 |
|
79 |
67 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,006 |
944 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
997 |
972 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,911 |
1,679 |
$0.00 |
| 94664 |
|
35 |
28 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
593 |
559 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
341 |
296 |
$0.00 |
| 97803 |
|
41 |
41 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |