| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,651 |
10,011 |
$1.77M |
| 90651 |
|
153 |
133 |
$8K |
| 90734 |
|
322 |
305 |
$3K |
| 90620 |
|
169 |
164 |
$2K |
| 90716 |
|
212 |
200 |
$1K |
| 90707 |
|
182 |
171 |
$375.64 |
| 90633 |
|
117 |
107 |
$271.62 |
| 90715 |
|
92 |
89 |
$246.50 |
| 90670 |
|
210 |
189 |
$215.33 |
| 90696 |
|
66 |
59 |
$164.33 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,113 |
1,023 |
$0.00 |
| 99173 |
|
217 |
214 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
905 |
810 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,315 |
1,148 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
512 |
464 |
$0.00 |
| 97803 |
|
311 |
281 |
$0.00 |
| 90648 |
|
134 |
131 |
$0.00 |
| 0502F |
|
126 |
52 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
238 |
206 |
$0.00 |
| 81002 |
|
30 |
28 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
95 |
86 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
23 |
13 |
$0.00 |
| 90686 |
|
730 |
718 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,547 |
5,383 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
712 |
620 |
$0.00 |
| 90723 |
|
102 |
99 |
$0.00 |
| 86580 |
|
286 |
263 |
$0.00 |
| 99058 |
|
489 |
404 |
$0.00 |
| 96127 |
|
240 |
160 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
86 |
$0.00 |
| 90680 |
|
41 |
41 |
$0.00 |
| 97802 |
|
169 |
135 |
$0.00 |