| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,131 |
4,708 |
$1.03M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
185 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
165 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,388 |
1,363 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
101 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,615 |
1,582 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
605 |
599 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
76 |
$911.69 |
| 87400 |
|
58 |
58 |
$685.21 |
| 81002 |
|
104 |
103 |
$259.27 |
| 85018 |
|
90 |
90 |
$181.30 |
| 90686 |
|
237 |
237 |
$0.00 |