| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,501 |
5,792 |
$1.37M |
| 90686 |
|
113 |
100 |
$684.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
836 |
819 |
$39.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,542 |
2,311 |
$0.00 |
| 2001F |
|
343 |
334 |
$0.00 |
| 92551 |
|
1,173 |
1,170 |
$0.00 |
| 3008F |
|
336 |
327 |
$0.00 |
| 1111F |
|
233 |
222 |
$0.00 |
| 3074F |
|
652 |
639 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 96161 |
|
13 |
12 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
44 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
50 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
32 |
$0.00 |
| 99173 |
|
1,233 |
1,230 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
455 |
455 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
257 |
256 |
$0.00 |
| 3078F |
|
619 |
605 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
540 |
538 |
$0.00 |
| 90734 |
|
39 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
18 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
110 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
385 |
385 |
$0.00 |
| 1159F |
|
949 |
897 |
$0.00 |
| 83655 |
|
36 |
36 |
$0.00 |
| 90648 |
|
41 |
31 |
$0.00 |
| 90710 |
|
15 |
14 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |