| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,719 |
7,884 |
$1.49M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
594 |
545 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
386 |
373 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
50 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,220 |
1,178 |
$178.74 |
| 90461 |
|
965 |
934 |
$4.00 |
| 90677 |
|
129 |
128 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90686 |
|
57 |
56 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
13 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90670 |
|
294 |
288 |
$0.00 |
| 90648 |
|
40 |
39 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90681 |
|
25 |
25 |
$0.00 |
| 90685 |
|
27 |
26 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |