| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,198 |
1,991 |
$440K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
470 |
448 |
$0.00 |
| 96161 |
|
54 |
52 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
53 |
$0.00 |
| 99173 |
|
24 |
24 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
133 |
$0.00 |
| 90734 |
|
101 |
25 |
$0.00 |