| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
21,538 |
16,215 |
$3.54M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,209 |
2,209 |
$383K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,169 |
2,169 |
$372K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,371 |
12,260 |
$225K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,066 |
1,066 |
$180K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
691 |
648 |
$115K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,050 |
6,997 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
234 |
234 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,050 |
2,982 |
$40K |
| 0002A |
|
757 |
757 |
$34K |
| 0072A |
|
446 |
446 |
$20K |
| 0001A |
|
394 |
393 |
$18K |
| 0071A |
|
464 |
463 |
$17K |
| 0012A |
|
326 |
326 |
$15K |
| 0011A |
|
298 |
298 |
$12K |
| 0003A |
|
261 |
261 |
$12K |
| 0074A |
|
194 |
194 |
$9K |
| 0124A |
|
89 |
89 |
$4K |
| 86580 |
|
658 |
649 |
$4K |
| 99050 |
|
64 |
64 |
$3K |
| 0112A |
|
71 |
71 |
$3K |
| 87400 |
|
233 |
232 |
$3K |
| 85018 |
|
947 |
947 |
$2K |
| 0004A |
|
50 |
50 |
$2K |
| 81002 |
|
797 |
785 |
$2K |
| 0111A |
|
45 |
45 |
$2K |
| 0154A |
|
37 |
37 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
107 |
$1K |
| 0031A |
|
32 |
32 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
41 |
$765.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$509.92 |
| 90674 |
|
14 |
14 |
$311.50 |
| 90686 |
|
2,822 |
2,822 |
$21.56 |
| 91311 |
|
141 |
141 |
$0.00 |
| 91312 |
|
89 |
89 |
$0.00 |
| 91307 |
|
1,172 |
1,054 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 91315 |
|
37 |
37 |
$0.00 |