| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,986 |
8,636 |
$1.70M |
| 90651 |
|
138 |
120 |
$4K |
| 90716 |
|
268 |
243 |
$3K |
| 90734 |
|
245 |
224 |
$2K |
| 90670 |
|
482 |
467 |
$2K |
| 90707 |
|
229 |
212 |
$1K |
| 90633 |
|
336 |
312 |
$664.93 |
| 90723 |
|
305 |
292 |
$438.15 |
| 90715 |
|
52 |
48 |
$306.94 |
| 90696 |
|
54 |
53 |
$268.16 |
| 90700 |
|
77 |
70 |
$188.08 |
| 90648 |
|
477 |
460 |
$169.10 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
907 |
845 |
$155.74 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
841 |
775 |
$153.68 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
540 |
$139.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,954 |
3,297 |
$93.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,878 |
1,686 |
$74.17 |
| 90680 |
|
206 |
195 |
$38.40 |
| 96127 |
|
709 |
418 |
$14.60 |
| 99173 |
|
1,159 |
1,130 |
$7.45 |
| 86580 |
|
152 |
132 |
$4.00 |
| 0502F |
|
1,226 |
456 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
584 |
553 |
$0.00 |
| 81002 |
|
303 |
160 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,889 |
1,506 |
$0.00 |
| 96160 |
|
224 |
178 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
183 |
98 |
$0.00 |
| 81025 |
|
81 |
75 |
$0.00 |
| 97803 |
|
49 |
40 |
$0.00 |
| 90649 |
|
15 |
14 |
$0.00 |
| 82962 |
|
124 |
81 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
93 |
$0.00 |
| 85018 |
|
123 |
81 |
$0.00 |
| 90686 |
|
879 |
862 |
$0.00 |
| 97802 |
|
75 |
68 |
$0.00 |
| 99058 |
|
166 |
146 |
$0.00 |
| 90620 |
|
47 |
44 |
$0.00 |
| 99381 |
|
13 |
13 |
$0.00 |