| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,252 |
6,671 |
$331K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,408 |
2,332 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,750 |
1,662 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
497 |
497 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
241 |
237 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
937 |
936 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
471 |
458 |
$5K |
| 99215 |
Prolong outpt/office vis |
79 |
72 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$3K |
| 99443 |
|
14 |
14 |
$821.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
60 |
$813.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
70 |
$561.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$482.34 |
| 96127 |
|
199 |
186 |
$379.49 |
| 90686 |
|
95 |
95 |
$59.58 |
| 3078F |
|
283 |
276 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
141 |
130 |
$0.00 |
| 1159F |
|
609 |
583 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 1125F |
|
268 |
255 |
$0.00 |
| 2000F |
|
601 |
575 |
$0.00 |
| 1126F |
|
167 |
162 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 2010F |
|
610 |
584 |
$0.00 |
| 3074F |
|
361 |
353 |
$0.00 |
| 3008F |
|
998 |
971 |
$0.00 |
| 1000F |
|
353 |
337 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
318 |
307 |
$0.00 |
| 3079F |
|
105 |
102 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |