| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,538 |
11,368 |
$1.29M |
| 99199 |
Unlisted special service, procedure or report |
104,861 |
47,285 |
$482K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
308 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
228 |
151 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
29 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
136 |
85 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
14 |
$107.88 |
| 99173 |
|
63 |
41 |
$20.48 |
| 90670 |
|
20 |
14 |
$0.00 |