| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,067 |
25,824 |
$2.68M |
| 90677 |
|
271 |
235 |
$1K |
| 90686 |
|
1,118 |
1,069 |
$834.63 |
| 90656 |
|
306 |
262 |
$253.26 |
| 90651 |
|
154 |
139 |
$228.76 |
| 90648 |
|
575 |
537 |
$12.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
743 |
707 |
$0.00 |
| 90633 |
|
142 |
129 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
998 |
906 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
344 |
332 |
$0.00 |
| 90670 |
|
254 |
252 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
529 |
463 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
192 |
183 |
$0.00 |
| 90734 |
|
147 |
134 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
366 |
343 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
174 |
171 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90715 |
|
52 |
48 |
$0.00 |
| 90681 |
|
44 |
37 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
15 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
64 |
62 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,395 |
1,323 |
$0.00 |
| 90723 |
|
348 |
324 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
640 |
611 |
$0.00 |
| 99384 |
|
34 |
34 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,807 |
13,050 |
$0.00 |
| 90680 |
|
175 |
170 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,602 |
7,003 |
$0.00 |
| 87428 |
|
198 |
177 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 99383 |
|
48 |
48 |
$0.00 |