| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,230 |
9,342 |
$1.37M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,471 |
1,471 |
$187K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
996 |
992 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
674 |
673 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
137 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
79 |
$9K |
| 90686 |
|
299 |
298 |
$5K |
| 99381 |
|
31 |
28 |
$2K |
| 90633 |
|
478 |
473 |
$633.80 |
| 90648 |
|
923 |
913 |
$559.56 |
| 90670 |
|
487 |
476 |
$200.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,669 |
2,183 |
$200.00 |
| 90671 |
|
158 |
158 |
$159.56 |
| 90723 |
|
665 |
659 |
$100.00 |
| 90716 |
|
47 |
47 |
$100.00 |
| 90681 |
|
279 |
278 |
$0.00 |
| 90461 |
|
1,749 |
1,482 |
$0.00 |
| 90700 |
|
56 |
56 |
$0.00 |
| 90707 |
|
45 |
45 |
$0.00 |
| 90710 |
|
57 |
57 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90677 |
|
212 |
212 |
$0.00 |
| 90696 |
|
58 |
58 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |