| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,246 |
10,471 |
$1.30M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
257 |
256 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
218 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
52 |
$6K |
| 0002A |
|
51 |
46 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
125 |
$2K |
| 0001A |
|
49 |
44 |
$2K |
| 0072A |
|
35 |
35 |
$1K |
| 0071A |
|
36 |
36 |
$980.08 |
| 91307 |
|
74 |
72 |
$290.85 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
535 |
526 |
$47.99 |
| 90461 |
|
68 |
67 |
$0.00 |
| 91300 |
|
86 |
82 |
$0.00 |
| 90686 |
|
115 |
115 |
$0.00 |
| 96127 |
|
183 |
176 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
28 |
$0.00 |
| 91301 |
|
17 |
13 |
$0.00 |