| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
60,143 |
52,322 |
$10.36M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,165 |
4,932 |
$75K |
| G9920 |
Screening performed and negative |
6,643 |
6,228 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,118 |
2,986 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,753 |
1,712 |
$28K |
| 00003 |
Internal/system code - not a standard HCPCS code |
87 |
87 |
$22K |
| 90686 |
|
6,582 |
6,323 |
$19K |
| 92551 |
|
6,636 |
6,228 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,154 |
1,101 |
$14K |
| 90670 |
|
1,996 |
1,944 |
$10K |
| 85018 |
|
12,807 |
12,056 |
$8K |
| 90647 |
|
1,031 |
1,002 |
$6K |
| 90633 |
|
715 |
704 |
$5K |
| 90723 |
|
915 |
903 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
222 |
210 |
$4K |
| 90674 |
|
74 |
74 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,952 |
15,492 |
$933.80 |
| 99173 |
|
6,054 |
5,721 |
$758.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,325 |
11,000 |
$655.72 |
| 90681 |
|
120 |
119 |
$573.41 |
| 83655 |
|
248 |
223 |
$536.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
361 |
274 |
$534.50 |
| 90700 |
|
52 |
52 |
$468.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,636 |
3,318 |
$295.37 |
| 90716 |
|
25 |
25 |
$225.00 |
| 90734 |
|
38 |
38 |
$225.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,177 |
959 |
$165.61 |
| 92587 |
|
1,833 |
1,750 |
$161.36 |
| 90707 |
|
12 |
12 |
$108.00 |
| 90461 |
|
5,604 |
5,490 |
$76.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,734 |
2,476 |
$19.55 |
| 99000 |
|
439 |
414 |
$13.41 |
| 36415 |
Collection of venous blood by venipuncture |
2,821 |
2,727 |
$0.00 |
| 90656 |
|
444 |
444 |
$0.00 |
| 90619 |
|
52 |
52 |
$0.00 |
| 90651 |
|
241 |
238 |
$0.00 |
| 90677 |
|
86 |
86 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |