| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,087 |
1,008 |
$188K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
89 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
484 |
473 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
226 |
226 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
60 |
60 |
$5K |
| 81002 |
|
871 |
647 |
$2K |
| 90674 |
|
98 |
98 |
$2K |
| 81025 |
|
177 |
175 |
$1K |
| 90686 |
|
71 |
71 |
$755.46 |
| 85018 |
|
297 |
295 |
$718.80 |
| 90715 |
|
14 |
14 |
$473.34 |