| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,006 |
9,789 |
$2.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,491 |
5,425 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
658 |
645 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
728 |
715 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
373 |
360 |
$981.13 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
729 |
702 |
$323.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,037 |
962 |
$304.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
29 |
$95.00 |
| 90633 |
|
72 |
72 |
$0.00 |
| 90670 |
|
69 |
69 |
$0.00 |
| 99173 |
|
65 |
65 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 87420 |
|
43 |
37 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90686 |
|
130 |
128 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
295 |
287 |
$0.00 |
| 85018 |
|
423 |
413 |
$0.00 |
| 90697 |
|
254 |
243 |
$0.00 |
| 96127 |
|
384 |
372 |
$0.00 |
| 90680 |
|
208 |
207 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
533 |
482 |
$0.00 |
| 87428 |
|
47 |
46 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |
| 90619 |
|
78 |
78 |
$0.00 |
| 90656 |
|
72 |
72 |
$0.00 |
| 90677 |
|
247 |
246 |
$0.00 |