| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,798 |
14,710 |
$1.71M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
993 |
823 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
852 |
717 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
478 |
421 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
422 |
343 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
32 |
26 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,893 |
3,073 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
264 |
$4K |
| 90461 |
|
1,910 |
1,329 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 99381 |
|
14 |
13 |
$537.24 |
| 90734 |
|
134 |
98 |
$274.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
36 |
$63.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
102 |
$33.20 |
| 90686 |
|
661 |
545 |
$17.55 |
| 90680 |
|
178 |
159 |
$0.00 |
| 90697 |
|
161 |
144 |
$0.00 |
| 90651 |
|
122 |
91 |
$0.00 |
| 90620 |
|
64 |
40 |
$0.00 |
| 90698 |
|
51 |
40 |
$0.00 |
| 96161 |
|
16 |
12 |
$0.00 |
| 92558 |
|
23 |
21 |
$0.00 |
| 90744 |
|
14 |
12 |
$0.00 |
| 90671 |
|
209 |
188 |
$0.00 |
| 90670 |
|
573 |
464 |
$0.00 |
| 90633 |
|
181 |
154 |
$0.00 |
| 90710 |
|
127 |
112 |
$0.00 |
| 99173 |
|
59 |
56 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |