| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,105 |
42,277 |
$3.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,169 |
34,703 |
$818K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,042 |
10,410 |
$218K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,768 |
1,818 |
$189K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,089 |
1,931 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,287 |
2,141 |
$133K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,415 |
1,629 |
$99K |
| 92551 |
|
7,150 |
4,813 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,332 |
906 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
616 |
616 |
$45K |
| 90746 |
|
648 |
592 |
$33K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,076 |
1,076 |
$18K |
| 90715 |
|
1,017 |
705 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,387 |
1,371 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
296 |
296 |
$12K |
| 81002 |
|
8,751 |
5,768 |
$11K |
| 90649 |
|
1,159 |
815 |
$11K |
| 90686 |
|
513 |
513 |
$10K |
| 85018 |
|
8,749 |
5,667 |
$10K |
| 99173 |
|
2,455 |
2,436 |
$8K |
| 90756 |
|
217 |
217 |
$7K |
| 90658 |
|
1,204 |
1,199 |
$7K |
| 90734 |
|
874 |
625 |
$6K |
| 90632 |
|
107 |
107 |
$6K |
| 81025 |
|
1,587 |
1,143 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
129 |
129 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
44 |
$3K |
| 90670 |
|
221 |
183 |
$3K |
| 90633 |
|
245 |
197 |
$3K |
| 97810 |
|
197 |
149 |
$2K |
| 97811 |
|
197 |
149 |
$2K |
| 90688 |
|
179 |
170 |
$2K |
| 90674 |
|
188 |
188 |
$2K |
| 90707 |
|
39 |
39 |
$2K |
| 86580 |
|
338 |
243 |
$940.80 |
| 90620 |
|
102 |
102 |
$918.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$838.60 |
| 90716 |
|
81 |
50 |
$802.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$516.49 |
| 90700 |
|
27 |
27 |
$486.00 |
| 90710 |
|
40 |
40 |
$486.00 |
| 93000 |
|
17 |
12 |
$387.45 |
| 90696 |
|
39 |
26 |
$306.00 |
| 90698 |
|
12 |
12 |
$216.00 |
| 90744 |
|
13 |
13 |
$117.00 |
| 82962 |
|
16 |
12 |
$24.00 |