| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,704 |
6,713 |
$789K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
972 |
927 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
816 |
813 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
162 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$230.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,324 |
1,319 |
$29.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,627 |
987 |
$0.06 |
| 90677 |
|
227 |
226 |
$0.00 |
| 90680 |
|
383 |
381 |
$0.00 |
| 90697 |
|
120 |
120 |
$0.00 |
| 90474 |
|
48 |
48 |
$0.00 |
| 90670 |
|
448 |
446 |
$0.00 |
| 90633 |
|
159 |
159 |
$0.00 |
| 90648 |
|
73 |
73 |
$0.00 |
| 90710 |
|
70 |
70 |
$0.00 |
| 90700 |
|
109 |
109 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90713 |
|
45 |
45 |
$0.00 |