| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,622 |
2,473 |
$444K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
617 |
617 |
$111K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
595 |
595 |
$48K |
| 90651 |
|
67 |
67 |
$17K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
399 |
399 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
359 |
357 |
$6K |
| 99442 |
|
236 |
229 |
$5K |
| 90674 |
|
155 |
155 |
$3K |
| 85018 |
|
81 |
80 |
$186.33 |
| 81025 |
|
14 |
14 |
$78.12 |
| 82270 |
|
12 |
12 |
$38.76 |