| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,916 |
3,403 |
$1.13M |
| 3008F |
|
2,064 |
1,830 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
76 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
71 |
$0.00 |
| 96161 |
|
55 |
52 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
80 |
77 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
362 |
361 |
$0.00 |
| 92552 |
|
620 |
620 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
242 |
242 |
$0.00 |
| 99173 |
|
632 |
632 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99188 |
|
68 |
68 |
$0.00 |
| 96160 |
|
38 |
38 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
87 |
84 |
$0.00 |
| 3725F |
|
144 |
139 |
$0.00 |