| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,671 |
9,936 |
$1.17M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
467 |
461 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
366 |
351 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
237 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,023 |
350 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
446 |
379 |
$859.97 |
| 90461 |
|
235 |
182 |
$623.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
121 |
$133.28 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
246 |
237 |
$37.79 |
| 90651 |
|
28 |
27 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
432 |
409 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
21 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
200 |
99 |
$0.00 |
| 81002 |
|
465 |
415 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
560 |
518 |
$0.00 |
| 90734 |
|
19 |
15 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90658 |
|
94 |
94 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |