| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,428 |
5,304 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,110 |
1,065 |
$920.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
190 |
$435.36 |
| 99442 |
|
1,275 |
1,172 |
$385.50 |
| 99443 |
|
348 |
322 |
$63.00 |
| 99441 |
|
46 |
44 |
$45.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
72 |
$38.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
396 |
335 |
$0.00 |
| 3008F |
|
1,619 |
1,513 |
$0.00 |
| 1111F |
|
90 |
76 |
$0.00 |
| 90686 |
|
61 |
61 |
$0.00 |
| 92551 |
|
14 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
274 |
246 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
60 |
$0.00 |
| 3077F |
|
15 |
15 |
$0.00 |
| 90461 |
|
96 |
94 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
31 |
$0.00 |