| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,237 |
13,546 |
$2.51M |
| 90734 |
|
254 |
182 |
$3K |
| 90670 |
|
1,247 |
724 |
$2K |
| 90686 |
|
1,036 |
759 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,036 |
6,737 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
293 |
$275.94 |
| 90715 |
|
28 |
17 |
$188.22 |
| 96127 |
|
6,092 |
4,527 |
$161.13 |
| 90716 |
|
18 |
13 |
$148.53 |
| 90633 |
|
298 |
203 |
$127.88 |
| 81002 |
|
4,682 |
2,615 |
$85.80 |
| 90723 |
|
850 |
478 |
$81.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,079 |
1,698 |
$25.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,960 |
2,105 |
$14.82 |
| 90651 |
|
202 |
134 |
$12.80 |
| 90647 |
|
797 |
466 |
$12.80 |
| 59426 |
|
2,028 |
777 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,389 |
941 |
$0.00 |
| 99173 |
|
234 |
171 |
$0.00 |
| 81025 |
|
108 |
81 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,002 |
1,215 |
$0.00 |
| 0502F |
|
782 |
569 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
240 |
188 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$0.00 |
| 59425 |
|
253 |
185 |
$0.00 |
| 97803 |
|
310 |
247 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
732 |
503 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
197 |
$0.00 |
| 90681 |
|
437 |
235 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
163 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99201 |
|
15 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
174 |
135 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
695 |
569 |
$0.00 |
| 87590 |
|
71 |
64 |
$0.00 |
| 88142 |
|
27 |
26 |
$0.00 |
| 97802 |
|
316 |
276 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
135 |
122 |
$0.00 |
| 90474 |
|
242 |
115 |
$0.00 |
| 87490 |
|
69 |
62 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 99381 |
|
75 |
69 |
$0.00 |