| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,682 |
17,307 |
$2.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,164 |
4,714 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,978 |
4,549 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
582 |
510 |
$354.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,963 |
1,878 |
$95.86 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
677 |
652 |
$32.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
840 |
814 |
$24.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
97 |
74 |
$9.16 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
668 |
649 |
$0.00 |
| 90670 |
|
202 |
195 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
227 |
221 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
102 |
$0.00 |
| 90648 |
|
194 |
185 |
$0.00 |
| 90633 |
|
49 |
49 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
430 |
405 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
66 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 90710 |
|
17 |
17 |
$0.00 |
| 90686 |
|
292 |
272 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
150 |
143 |
$0.00 |
| 90680 |
|
57 |
56 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
13 |
$0.00 |
| 90723 |
|
71 |
69 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |