| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
20,093 |
17,513 |
$3.15M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
550 |
550 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,218 |
1,218 |
$23K |
| 90716 |
|
204 |
204 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
183 |
183 |
$15K |
| 99050 |
|
288 |
282 |
$15K |
| 90674 |
|
578 |
578 |
$13K |
| 90688 |
|
899 |
898 |
$9K |
| 90707 |
|
26 |
26 |
$1K |
| 82270 |
|
172 |
172 |
$587.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$503.37 |
| 90756 |
|
39 |
39 |
$444.20 |
| 1160F |
|
592 |
592 |
$0.00 |
| 1159F |
|
600 |
600 |
$0.00 |