| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,595 |
12,651 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,966 |
5,295 |
$218K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,935 |
3,661 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
683 |
680 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
458 |
452 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,720 |
2,697 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
607 |
599 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,296 |
1,248 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,336 |
2,001 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
135 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
94 |
94 |
$5K |
| 90686 |
|
692 |
689 |
$4K |
| 90656 |
|
46 |
46 |
$581.10 |
| 90670 |
|
348 |
346 |
$267.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$123.21 |
| 90474 |
|
76 |
76 |
$39.00 |
| 90698 |
|
173 |
172 |
$0.00 |
| 90680 |
|
88 |
88 |
$0.00 |
| 90688 |
|
129 |
129 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |