| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
634 |
548 |
$74K |
| 90670 |
|
1,380 |
1,364 |
$30K |
| 90698 |
|
1,013 |
1,003 |
$22K |
| 90680 |
|
642 |
630 |
$14K |
| 90633 |
|
559 |
553 |
$12K |
| 90688 |
|
596 |
569 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
100 |
$10K |
| 90744 |
|
436 |
433 |
$9K |
| 90707 |
|
414 |
401 |
$9K |
| 90716 |
|
396 |
384 |
$9K |
| 90715 |
|
264 |
258 |
$6K |
| 90686 |
|
190 |
190 |
$4K |
| 90651 |
|
164 |
161 |
$4K |
| 90685 |
|
150 |
149 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
246 |
$3K |
| 90677 |
|
106 |
106 |
$3K |
| 90696 |
|
110 |
100 |
$2K |
| 90734 |
|
93 |
87 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
27 |
$2K |
| 99384 |
|
18 |
18 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
77 |
$1K |
| 90658 |
|
44 |
44 |
$700.00 |
| 90687 |
|
25 |
25 |
$549.00 |
| 90697 |
|
24 |
24 |
$505.08 |
| 90619 |
|
17 |
17 |
$373.32 |
| 91322 |
|
13 |
13 |
$372.80 |
| 90480 |
|
16 |
16 |
$351.36 |
| 90648 |
|
12 |
12 |
$263.52 |
| 90474 |
|
15 |
14 |
$9.92 |
| G0008 |
Administration of influenza virus vaccine |
100 |
63 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |