| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
983 |
817 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
65 |
$6K |
| H0049 |
Alcohol and/or drug screening |
276 |
271 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
87 |
$346.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
18 |
$264.86 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
17 |
17 |
$109.88 |
| 96127 |
|
189 |
187 |
$63.74 |