| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,197 |
21,081 |
$1.85M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,727 |
1,435 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,443 |
1,243 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,006 |
856 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
566 |
438 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
686 |
647 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,717 |
1,449 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
89 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,540 |
2,771 |
$912.69 |
| 90677 |
|
120 |
120 |
$279.09 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
27 |
27 |
$105.84 |
| 90680 |
|
636 |
552 |
$0.00 |
| 90698 |
|
322 |
309 |
$0.00 |
| 90696 |
|
32 |
32 |
$0.00 |
| 90723 |
|
202 |
199 |
$0.00 |
| 90686 |
|
148 |
148 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| 90474 |
|
38 |
36 |
$0.00 |
| 90651 |
|
90 |
90 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |
| 90461 |
|
1,897 |
1,559 |
$0.00 |
| 90670 |
|
738 |
669 |
$0.00 |
| 90633 |
|
489 |
427 |
$0.00 |
| 90473 |
|
349 |
346 |
$0.00 |
| 90648 |
|
223 |
219 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90734 |
|
56 |
56 |
$0.00 |
| 90671 |
|
28 |
26 |
$0.00 |
| 90710 |
|
67 |
67 |
$0.00 |
| 90685 |
|
39 |
39 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |