| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
198 |
164 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,054 |
940 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
412 |
381 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
228 |
216 |
$11K |
| 99173 |
|
794 |
754 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
191 |
186 |
$10K |
| 92551 |
|
810 |
763 |
$8K |
| 3008F |
|
853 |
791 |
$5K |
| 80061 |
Lipid panel |
247 |
215 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
25 |
$1K |
| 96127 |
|
352 |
332 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
51 |
$949.32 |
| 0072A |
|
23 |
21 |
$801.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
39 |
$568.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
176 |
76 |
$522.98 |
| 90686 |
|
415 |
379 |
$496.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$361.76 |
| 90670 |
|
79 |
66 |
$142.73 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
408 |
381 |
$84.40 |
| 90685 |
|
22 |
18 |
$43.03 |
| 90647 |
|
15 |
12 |
$39.72 |
| 90674 |
|
15 |
15 |
$36.41 |
| 90633 |
|
15 |
14 |
$36.41 |
| 90461 |
|
403 |
210 |
$21.56 |
| 90715 |
|
43 |
39 |
$6.88 |
| 90734 |
|
94 |
88 |
$3.93 |
| 90651 |
|
47 |
44 |
$3.49 |
| 90710 |
|
16 |
13 |
$0.11 |
| 91307 |
|
24 |
21 |
$0.02 |