| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,426 |
5,992 |
$1.19M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
222 |
222 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
297 |
295 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
875 |
861 |
$17K |
| 90746 |
|
261 |
261 |
$17K |
| 80305 |
|
1,513 |
716 |
$13K |
| 99385 |
|
74 |
74 |
$12K |
| 97803 |
|
554 |
525 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
526 |
502 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
733 |
732 |
$7K |
| 90715 |
|
158 |
158 |
$5K |
| 90686 |
|
311 |
310 |
$4K |
| 97802 |
|
158 |
158 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
126 |
126 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
203 |
199 |
$2K |
| 81025 |
|
361 |
352 |
$2K |
| 86580 |
|
340 |
325 |
$2K |
| 81002 |
|
635 |
624 |
$2K |
| 82947 |
|
378 |
309 |
$2K |
| 90670 |
|
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
67 |
$774.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
66 |
$770.75 |
| 90651 |
|
14 |
14 |
$675.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
46 |
46 |
$450.45 |
| 97804 |
|
28 |
27 |
$334.60 |