| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,809 |
15,361 |
$2.40M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
263 |
260 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
200 |
191 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
154 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
56 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
51 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
42 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
795 |
534 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
66 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
459 |
454 |
$591.59 |
| 90686 |
|
93 |
91 |
$580.00 |
| 90715 |
|
55 |
50 |
$432.02 |
| 90734 |
|
43 |
41 |
$432.02 |
| CP005 |
|
14 |
12 |
$387.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
190 |
188 |
$0.00 |
| 90461 |
|
563 |
264 |
$0.00 |
| 90670 |
|
81 |
81 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 3078F |
|
62 |
62 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
35 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
12 |
$0.00 |
| 3074F |
|
95 |
95 |
$0.00 |
| 3008F |
|
446 |
439 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |