| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,153 |
1,150 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
46 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
54 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
242 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
25 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
281 |
121 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
396 |
174 |
$1K |
| 80061 |
Lipid panel |
110 |
55 |
$920.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
12 |
$883.63 |
| 85018 |
|
665 |
290 |
$45.15 |
| 92551 |
|
449 |
200 |
$8.27 |
| 99173 |
|
496 |
222 |
$0.00 |
| 90670 |
|
23 |
12 |
$0.00 |
| 90698 |
|
23 |
12 |
$0.00 |