| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,639 |
4,144 |
$535K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,183 |
1,046 |
$73K |
| 99385 |
|
72 |
72 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
107 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
42 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,688 |
670 |
$1K |
| 99383 |
|
14 |
13 |
$815.10 |
| 99384 |
|
12 |
12 |
$587.08 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$260.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
263 |
242 |
$124.62 |
| 90461 |
|
386 |
311 |
$88.36 |
| 92551 |
|
199 |
195 |
$9.54 |
| 99173 |
|
131 |
130 |
$0.00 |
| 90670 |
|
68 |
68 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
21 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90686 |
|
114 |
110 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |
| 91301 |
|
16 |
15 |
$0.00 |