| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
62,922 |
46,407 |
$20.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,180 |
11,449 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,902 |
13,809 |
$19K |
| 99215 |
Prolong outpt/office vis |
3,861 |
3,180 |
$9K |
| 90674 |
|
1,067 |
820 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,020 |
1,619 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,684 |
2,097 |
$3K |
| 11721 |
|
211 |
107 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,209 |
1,029 |
$2K |
| 90732 |
|
218 |
174 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
293 |
243 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,032 |
2,455 |
$1K |
| 90670 |
|
109 |
81 |
$987.85 |
| 92015 |
Determination of refractive state |
415 |
366 |
$739.84 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
463 |
393 |
$546.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,258 |
847 |
$532.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
392 |
295 |
$468.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,089 |
2,317 |
$364.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
16 |
$299.17 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
263 |
192 |
$185.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
33 |
$88.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
568 |
448 |
$80.53 |
| 90715 |
|
44 |
33 |
$70.07 |
| 90630 |
|
338 |
268 |
$63.90 |
| 99243 |
|
31 |
26 |
$0.00 |
| 90686 |
|
60 |
60 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
669 |
396 |
$0.00 |
| 90688 |
|
45 |
45 |
$0.00 |
| 92133 |
|
36 |
29 |
$0.00 |
| 92134 |
|
46 |
39 |
$0.00 |
| 99201 |
|
58 |
52 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
39 |
$0.00 |