| Code | Description | Claims | Bene. Records | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,587 |
912 |
$152K |
| 92552 |
|
172 |
141 |
$0.00 |
| 81003 |
|
208 |
168 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
15 |
$0.00 |
| 99173 |
|
187 |
153 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
12 |
$0.00 |
| 85018 |
|
213 |
178 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
341 |
229 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
73 |
$0.00 |