| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,797 |
31,115 |
$3.16M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
378 |
359 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
262 |
261 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,375 |
554 |
$919.87 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
133 |
$743.95 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
89 |
89 |
$721.88 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
32 |
$180.20 |
| 99460 |
|
29 |
29 |
$170.36 |
| 92552 |
|
36 |
35 |
$59.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
88 |
63 |
$44.90 |
| 90461 |
|
383 |
336 |
$9.01 |
| 90677 |
|
251 |
251 |
$0.01 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
483 |
478 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 90633 |
|
66 |
66 |
$0.00 |
| 99173 |
|
71 |
69 |
$0.00 |
| 90710 |
|
61 |
61 |
$0.00 |
| 90680 |
|
162 |
162 |
$0.00 |
| 90697 |
|
74 |
74 |
$0.00 |
| 90656 |
|
109 |
109 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90657 |
|
34 |
34 |
$0.00 |
| 36416 |
|
18 |
18 |
$0.00 |