| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,521 |
5,284 |
$952K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,173 |
1,172 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,136 |
1,135 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,457 |
4,448 |
$182K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
930 |
928 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
784 |
770 |
$138K |
| 99173 |
|
2,938 |
2,938 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,153 |
5,119 |
$53K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,354 |
5,311 |
$49K |
| 92551 |
|
2,938 |
2,938 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
100 |
100 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
111 |
111 |
$6K |
| 99383 |
|
26 |
26 |
$5K |
| 81002 |
|
1,565 |
1,557 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
226 |
226 |
$3K |
| 90651 |
|
422 |
422 |
$2K |
| 96127 |
|
209 |
209 |
$2K |
| 87634 |
|
34 |
34 |
$2K |
| 81025 |
|
289 |
289 |
$2K |
| 99188 |
|
66 |
66 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
131 |
$2K |
| 85018 |
|
567 |
566 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
42 |
42 |
$1K |
| 90686 |
|
1,986 |
1,983 |
$1K |
| 90620 |
|
123 |
123 |
$324.00 |
| 90633 |
|
571 |
570 |
$71.82 |
| 90734 |
|
204 |
204 |
$0.00 |
| 90670 |
|
630 |
630 |
$0.00 |
| 90715 |
|
39 |
39 |
$0.00 |