| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,060 |
17,447 |
$1.44M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
947 |
924 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
859 |
840 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
727 |
669 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
771 |
733 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,305 |
1,236 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
204 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,175 |
1,849 |
$632.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
80 |
$453.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
556 |
451 |
$57.82 |
| 96160 |
|
282 |
243 |
$2.25 |
| 90461 |
|
532 |
149 |
$0.00 |
| 90670 |
|
323 |
310 |
$0.00 |
| 90734 |
|
107 |
99 |
$0.00 |
| 90633 |
|
73 |
68 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90697 |
|
214 |
208 |
$0.00 |
| 90680 |
|
237 |
231 |
$0.00 |
| 90677 |
|
181 |
178 |
$0.00 |
| 90656 |
|
139 |
133 |
$0.00 |
| 90686 |
|
387 |
373 |
$0.00 |
| 90651 |
|
181 |
166 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
71 |
70 |
$0.00 |
| 96161 |
|
60 |
55 |
$0.00 |
| 96127 |
|
16 |
14 |
$0.00 |