| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
55,208 |
37,964 |
$4.58M |
| 99050 |
|
315 |
292 |
$3K |
| 99051 |
|
12 |
12 |
$13.38 |
| 3074F |
|
3,766 |
3,235 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,172 |
24,328 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,304 |
4,803 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,398 |
3,830 |
$0.00 |
| 3079F |
|
816 |
686 |
$0.00 |
| 90723 |
|
337 |
315 |
$0.00 |
| 90680 |
|
1,453 |
1,200 |
$0.00 |
| 90697 |
|
726 |
674 |
$0.00 |
| 90686 |
|
855 |
763 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90647 |
|
655 |
601 |
$0.00 |
| 99381 |
|
115 |
106 |
$0.00 |
| 85018 |
|
69 |
42 |
$0.00 |
| 3080F |
|
80 |
75 |
$0.00 |
| 90696 |
|
58 |
54 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
136 |
125 |
$0.00 |
| 3075F |
|
705 |
604 |
$0.00 |
| 90651 |
|
45 |
41 |
$0.00 |
| 90656 |
|
104 |
81 |
$0.00 |
| 90619 |
|
53 |
46 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,995 |
2,513 |
$0.00 |
| 99173 |
|
468 |
329 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,058 |
2,365 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,487 |
1,235 |
$0.00 |
| 90633 |
|
1,054 |
969 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
425 |
363 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,270 |
3,714 |
$0.00 |
| 90473 |
|
1,472 |
1,203 |
$0.00 |
| 90670 |
|
1,879 |
1,561 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,423 |
1,024 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
84 |
$0.00 |
| 90710 |
|
747 |
672 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
308 |
278 |
$0.00 |
| 1160F |
|
47 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,005 |
4,256 |
$0.00 |
| 3078F |
|
3,709 |
3,195 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
86 |
76 |
$0.00 |
| 90671 |
|
341 |
316 |
$0.00 |
| 92552 |
|
56 |
29 |
$0.00 |
| 90734 |
|
53 |
46 |
$0.00 |
| 90700 |
|
104 |
95 |
$0.00 |
| 90715 |
|
42 |
38 |
$0.00 |
| 3077F |
|
257 |
223 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$0.00 |