| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,037 |
2,792 |
$518K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
991 |
818 |
$85.05 |
| 85018 |
|
17 |
17 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
47 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
42 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
31 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
565 |
532 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
102 |
$0.00 |