| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,944 |
16,511 |
$2.90M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,128 |
3,059 |
$521K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,941 |
2,721 |
$487K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,875 |
1,839 |
$317K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
954 |
923 |
$157K |
| 99381 |
|
185 |
163 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
447 |
444 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,538 |
4,851 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$180.52 |
| 90686 |
|
1,438 |
1,378 |
$75.09 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
388 |
276 |
$73.26 |
| 90633 |
|
983 |
953 |
$0.00 |
| 90648 |
|
352 |
333 |
$0.00 |
| 90700 |
|
289 |
280 |
$0.00 |
| 90707 |
|
350 |
341 |
$0.00 |
| 99173 |
|
13 |
12 |
$0.00 |
| 90461 |
|
1,209 |
304 |
$0.00 |
| 90670 |
|
1,451 |
1,391 |
$0.00 |
| 90715 |
|
88 |
87 |
$0.00 |
| 90710 |
|
191 |
185 |
$0.00 |
| 90661 |
|
45 |
45 |
$0.00 |
| 90734 |
|
81 |
79 |
$0.00 |
| 90680 |
|
1,489 |
1,443 |
$0.00 |
| 90716 |
|
351 |
342 |
$0.00 |
| 90677 |
|
592 |
586 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
798 |
748 |
$0.00 |
| 90651 |
|
278 |
271 |
$0.00 |
| 90697 |
|
781 |
773 |
$0.00 |
| 90723 |
|
66 |
59 |
$0.00 |
| 90619 |
|
60 |
60 |
$0.00 |
| 90696 |
|
191 |
185 |
$0.00 |
| 90620 |
|
16 |
16 |
$0.00 |
| 90656 |
|
90 |
90 |
$0.00 |
| 90698 |
|
14 |
13 |
$0.00 |