| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,885 |
22,274 |
$2.19M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,813 |
1,697 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,054 |
1,051 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
589 |
496 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
172 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$2K |
| 99383 |
|
12 |
12 |
$962.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
349 |
326 |
$549.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,284 |
1,251 |
$383.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
701 |
651 |
$160.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
997 |
935 |
$124.56 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
476 |
419 |
$67.17 |
| 90474 |
|
436 |
431 |
$62.28 |
| 90461 |
|
363 |
360 |
$14.02 |
| 96160 |
|
644 |
642 |
$4.78 |
| 90697 |
|
481 |
478 |
$0.01 |
| 90698 |
|
123 |
122 |
$0.00 |
| 90744 |
|
26 |
26 |
$0.00 |
| 92558 |
|
40 |
40 |
$0.00 |
| 90716 |
|
82 |
82 |
$0.00 |
| 90677 |
|
303 |
299 |
$0.00 |
| 90688 |
|
20 |
20 |
$0.00 |
| 96161 |
|
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |
| 90670 |
|
636 |
627 |
$0.00 |
| 90707 |
|
81 |
81 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
67 |
66 |
$0.00 |
| 90700 |
|
54 |
54 |
$0.00 |
| 90633 |
|
409 |
408 |
$0.00 |
| 90681 |
|
846 |
834 |
$0.00 |
| 99173 |
|
73 |
72 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |