| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,859 |
13,070 |
$1.22M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,906 |
1,884 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,767 |
1,700 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,175 |
1,119 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
853 |
834 |
$68K |
| 99381 |
|
41 |
40 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,823 |
2,750 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,997 |
3,880 |
$926.19 |
| 87428 |
|
2,925 |
2,847 |
$538.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,732 |
2,359 |
$506.03 |
| 92551 |
|
954 |
941 |
$339.00 |
| 90648 |
|
217 |
216 |
$83.77 |
| 90633 |
|
556 |
550 |
$82.61 |
| 90474 |
|
158 |
156 |
$7.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
281 |
279 |
$0.06 |
| 90697 |
|
64 |
64 |
$0.01 |
| 90681 |
|
361 |
353 |
$0.01 |
| 90723 |
|
205 |
202 |
$0.00 |
| 90696 |
|
159 |
158 |
$0.00 |
| 87807 |
|
325 |
316 |
$0.00 |
| 90698 |
|
177 |
173 |
$0.00 |
| 90651 |
|
257 |
253 |
$0.00 |
| 90688 |
|
486 |
482 |
$0.00 |
| 90686 |
|
556 |
547 |
$0.00 |
| 90619 |
|
38 |
38 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |
| 90647 |
|
16 |
16 |
$0.00 |
| 90710 |
|
560 |
553 |
$0.00 |
| 90687 |
|
83 |
82 |
$0.00 |
| 90670 |
|
908 |
891 |
$0.00 |
| 96160 |
|
448 |
414 |
$0.00 |
| 90734 |
|
78 |
77 |
$0.00 |
| 90685 |
|
79 |
77 |
$0.00 |
| 99173 |
|
129 |
124 |
$0.00 |
| 90715 |
|
48 |
48 |
$0.00 |