| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,660 |
11,934 |
$4.04M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,856 |
1,602 |
$412K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
929 |
898 |
$217K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,628 |
1,511 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,836 |
2,686 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
685 |
556 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$8K |
| 81002 |
|
303 |
212 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$4K |
| 90658 |
|
50 |
48 |
$107.79 |
| 90688 |
|
35 |
35 |
$72.27 |
| 90715 |
|
28 |
26 |
$31.69 |
| 90686 |
|
92 |
91 |
$0.20 |
| 90677 |
|
151 |
141 |
$0.09 |
| 90633 |
|
112 |
104 |
$0.03 |
| 90670 |
|
729 |
704 |
$0.00 |
| 90648 |
|
53 |
53 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90680 |
|
373 |
360 |
$0.00 |
| 1000F |
|
719 |
526 |
$0.00 |
| 90697 |
|
88 |
85 |
$0.00 |