| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,471 |
1,136 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,957 |
985 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
493 |
261 |
$31K |
| G9920 |
Screening performed and negative |
317 |
200 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
49 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
24 |
$2K |
| 92551 |
|
311 |
186 |
$2K |
| 90686 |
|
83 |
46 |
$429.38 |
| 85018 |
|
405 |
247 |
$350.26 |
| 90648 |
|
64 |
41 |
$280.88 |
| 90677 |
|
27 |
18 |
$112.50 |
| 90671 |
|
20 |
12 |
$100.88 |
| 90723 |
|
23 |
15 |
$90.00 |
| 90680 |
|
22 |
14 |
$90.00 |
| 96127 |
|
23 |
13 |
$60.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
164 |
163 |
$0.00 |
| 99177 |
|
143 |
141 |
$0.00 |
| 90461 |
|
74 |
74 |
$0.00 |