| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
878 |
837 |
$269K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
407 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
65 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
237 |
237 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
124 |
124 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$2K |
| 3078F |
|
319 |
311 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 90661 |
|
90 |
90 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| 3008F |
|
601 |
577 |
$0.00 |
| 3074F |
|
334 |
325 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 1111F |
|
363 |
350 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |