| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,787 |
3,607 |
$650K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
804 |
804 |
$146K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,698 |
1,698 |
$143K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,710 |
1,707 |
$45K |
| 99443 |
|
129 |
129 |
$4K |
| 58100 |
|
13 |
13 |
$1K |
| 85018 |
|
430 |
412 |
$1K |
| 81025 |
|
100 |
99 |
$660.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$218.76 |
| 81002 |
|
13 |
12 |
$35.62 |