| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,475 |
23,560 |
$4.73M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,497 |
4,497 |
$751K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,467 |
3,466 |
$575K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,043 |
3,043 |
$505K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,984 |
2,796 |
$493K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,496 |
11,439 |
$211K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,453 |
14,264 |
$141K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,748 |
5,732 |
$80K |
| 99050 |
|
1,037 |
987 |
$53K |
| 0072A |
|
844 |
844 |
$38K |
| 0071A |
|
537 |
537 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
807 |
769 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
110 |
110 |
$18K |
| 99381 |
|
95 |
95 |
$16K |
| 0001A |
|
307 |
306 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
977 |
963 |
$11K |
| 90474 |
|
1,264 |
1,264 |
$11K |
| 87400 |
|
852 |
828 |
$10K |
| 0003A |
|
216 |
216 |
$10K |
| 81002 |
|
2,840 |
2,755 |
$8K |
| 85018 |
|
2,036 |
2,034 |
$5K |
| 0074A |
|
95 |
95 |
$4K |
| 0124A |
|
70 |
70 |
$3K |
| 0004A |
|
61 |
61 |
$3K |
| 0064A |
|
50 |
50 |
$2K |
| 0002A |
|
40 |
40 |
$2K |
| 0112A |
|
40 |
40 |
$2K |
| 0154A |
|
29 |
29 |
$1K |
| 86580 |
|
46 |
46 |
$265.86 |
| 90734 |
|
512 |
512 |
$0.00 |
| 91311 |
|
102 |
102 |
$0.00 |
| 90672 |
|
47 |
47 |
$0.00 |
| 91312 |
|
70 |
70 |
$0.00 |
| 91307 |
|
1,561 |
1,418 |
$0.00 |
| 91315 |
|
29 |
29 |
$0.00 |
| 90686 |
|
2,544 |
2,544 |
$0.00 |