| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,855 |
20,482 |
$6.33M |
| 99199 |
Unlisted special service, procedure or report |
57,861 |
38,234 |
$397K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,476 |
2,303 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,308 |
2,167 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,822 |
1,658 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,229 |
1,137 |
$88K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,908 |
3,597 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,945 |
6,439 |
$75K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,665 |
1,551 |
$53K |
| D1206 |
Topical application of fluoride varnish |
1,663 |
1,550 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,723 |
2,551 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
697 |
684 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
540 |
280 |
$6K |
| 96160 |
|
1,151 |
1,064 |
$4K |
| 90474 |
|
313 |
297 |
$4K |
| 92587 |
|
1,186 |
1,114 |
$3K |
| 92551 |
|
5,053 |
4,690 |
$2K |
| 85018 |
|
3,042 |
2,904 |
$2K |
| 90649 |
|
667 |
594 |
$2K |
| 81003 |
|
1,630 |
1,555 |
$2K |
| 96127 |
|
1,599 |
1,501 |
$1K |
| 99173 |
|
5,360 |
4,984 |
$821.87 |
| 90686 |
|
3,342 |
3,154 |
$695.10 |
| 0002A |
|
19 |
13 |
$585.00 |
| 90620 |
|
95 |
85 |
$482.25 |
| G9919 |
Screening performed and positive and provision of recommendations |
23 |
14 |
$438.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
16 |
$228.95 |
| 96161 |
|
56 |
53 |
$198.98 |
| 94760 |
|
484 |
445 |
$161.88 |
| 90656 |
|
226 |
224 |
$117.25 |
| 90715 |
|
98 |
74 |
$40.11 |
| 90633 |
|
484 |
434 |
$32.14 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$29.03 |
| 99177 |
|
304 |
279 |
$20.88 |
| 90698 |
|
799 |
738 |
$0.00 |
| 90680 |
|
371 |
354 |
$0.00 |
| 90744 |
|
245 |
232 |
$0.00 |
| 90696 |
|
104 |
94 |
$0.00 |
| 90716 |
|
88 |
69 |
$0.00 |
| 90670 |
|
1,398 |
1,303 |
$0.00 |
| 90710 |
|
126 |
114 |
$0.00 |
| 90648 |
|
76 |
72 |
$0.00 |
| 90734 |
|
453 |
398 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90707 |
|
73 |
60 |
$0.00 |
| 90655 |
|
133 |
129 |
$0.00 |
| 91300 |
|
62 |
34 |
$0.00 |