| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,131 |
2,508 |
$593K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
310 |
310 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
253 |
253 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
213 |
213 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
167 |
161 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
744 |
744 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,075 |
1,066 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
456 |
456 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
105 |
100 |
$2K |
| 87400 |
|
78 |
76 |
$801.06 |
| 0071A |
|
20 |
20 |
$776.61 |
| 0111A |
|
20 |
20 |
$756.60 |
| 81002 |
|
200 |
200 |
$492.62 |
| 85018 |
|
201 |
199 |
$377.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$204.34 |
| 91307 |
|
25 |
25 |
$0.00 |
| 91311 |
|
22 |
22 |
$0.00 |