| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,860 |
5,108 |
$987K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,966 |
2,692 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
281 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,448 |
1,384 |
$994.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
392 |
$804.60 |
| 99173 |
|
1,043 |
990 |
$656.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
394 |
391 |
$608.10 |
| 92551 |
|
1,116 |
1,061 |
$575.81 |
| 90686 |
|
137 |
137 |
$375.36 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
334 |
300 |
$349.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
947 |
891 |
$215.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
90 |
$59.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
67 |
$22.61 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
126 |
118 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 3008F |
|
1,861 |
1,754 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
100 |
98 |
$0.00 |