| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,095 |
941 |
$249K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
330 |
326 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
122 |
86 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
61 |
$0.00 |
| 90671 |
|
33 |
33 |
$0.00 |
| 90681 |
|
86 |
86 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
298 |
265 |
$0.00 |
| 90697 |
|
74 |
74 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| 99381 |
|
53 |
52 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |