| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,404 |
1,356 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
405 |
391 |
$0.00 |
| 92551 |
|
115 |
112 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
128 |
127 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 3008F |
|
576 |
566 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
175 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
92 |
$0.00 |
| 99173 |
|
545 |
537 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
108 |
$0.00 |