| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,217 |
2,569 |
$252K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
406 |
384 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
322 |
320 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
16 |
$1K |
| 99381 |
|
14 |
14 |
$926.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
595 |
573 |
$7.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,235 |
412 |
$0.08 |
| 90648 |
|
247 |
234 |
$0.00 |
| 90700 |
|
282 |
270 |
$0.00 |
| 90670 |
|
305 |
291 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
101 |
39 |
$0.00 |
| 90713 |
|
192 |
189 |
$0.00 |
| 90633 |
|
159 |
159 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 90707 |
|
32 |
31 |
$0.00 |
| 90744 |
|
121 |
119 |
$0.00 |
| 90680 |
|
198 |
186 |
$0.00 |
| 90716 |
|
33 |
32 |
$0.00 |