| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,867 |
14,733 |
$930K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,270 |
1,267 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,844 |
2,697 |
$96K |
| T1015 |
Clinic visit/encounter, all-inclusive |
876 |
748 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,051 |
1,049 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
802 |
799 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
715 |
707 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,417 |
2,407 |
$49K |
| 90461 |
|
1,478 |
1,476 |
$30K |
| 92552 |
|
2,118 |
2,112 |
$22K |
| 96127 |
|
2,276 |
2,205 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,931 |
1,929 |
$14K |
| G9153 |
Mapcp demonstration - physician incentive pool |
30 |
30 |
$2K |
| 90647 |
|
428 |
428 |
$0.00 |
| 90651 |
|
116 |
115 |
$0.00 |
| 90723 |
|
191 |
191 |
$0.00 |
| 90680 |
|
128 |
128 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |
| 90670 |
|
383 |
383 |
$0.00 |
| 90633 |
|
262 |
261 |
$0.00 |
| 90734 |
|
146 |
146 |
$0.00 |
| 90710 |
|
88 |
87 |
$0.00 |
| 90715 |
|
50 |
50 |
$0.00 |
| 99173 |
|
28 |
28 |
$0.00 |