| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,173 |
4,469 |
$938K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,829 |
2,503 |
$613K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
547 |
532 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
334 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
266 |
261 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
257 |
249 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
85 |
$19K |
| G9153 |
Mapcp demonstration - physician incentive pool |
267 |
267 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
919 |
892 |
$3K |
| 99383 |
|
12 |
12 |
$3K |
| 99442 |
|
70 |
69 |
$2K |
| 90686 |
|
151 |
150 |
$262.72 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
271 |
264 |
$193.64 |
| 90688 |
|
14 |
14 |
$184.68 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
62 |
61 |
$182.46 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$124.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
513 |
483 |
$60.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
13 |
$44.90 |
| 92552 |
|
45 |
45 |
$20.68 |
| 85018 |
|
15 |
15 |
$2.05 |
| 1159F |
|
20 |
20 |
$0.01 |
| 1160F |
|
17 |
17 |
$0.01 |
| 90698 |
|
97 |
97 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 3074F |
|
20 |
18 |
$0.00 |
| 92551 |
|
105 |
105 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| 90680 |
|
50 |
50 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90461 |
|
246 |
245 |
$0.00 |
| 90670 |
|
183 |
183 |
$0.00 |
| 99173 |
|
178 |
178 |
$0.00 |
| 90633 |
|
128 |
128 |
$0.00 |
| 3078F |
|
22 |
19 |
$0.00 |