| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,936 |
3,403 |
$580K |
| D0999 |
Unspecified diagnostic procedure, by report |
14 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,780 |
1,725 |
$166.06 |
| 92551 |
|
140 |
78 |
$45.60 |
| 99173 |
|
107 |
60 |
$13.20 |
| 90686 |
|
572 |
372 |
$6.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
125 |
69 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
935 |
611 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,139 |
752 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
245 |
119 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
42 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
15 |
$0.00 |
| 90670 |
|
47 |
15 |
$0.00 |