| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
57,952 |
43,735 |
$4.96M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,570 |
4,542 |
$399K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,855 |
3,831 |
$344K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,190 |
4,137 |
$332K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,245 |
2,119 |
$199K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
259 |
252 |
$22K |
| 0072A |
|
306 |
306 |
$12K |
| 0071A |
|
299 |
297 |
$11K |
| 0002A |
|
291 |
291 |
$11K |
| 0001A |
|
331 |
330 |
$11K |
| 99381 |
|
41 |
40 |
$4K |
| 90686 |
|
1,440 |
1,429 |
$3K |
| 0054A |
|
80 |
80 |
$2K |
| 90651 |
|
1,113 |
1,109 |
$1K |
| 0011A |
|
43 |
43 |
$891.26 |
| 91305 |
|
118 |
118 |
$695.00 |
| 0012A |
|
18 |
18 |
$680.00 |
| 91308 |
|
63 |
54 |
$611.80 |
| 91301 |
|
85 |
76 |
$610.75 |
| 90621 |
|
879 |
874 |
$359.10 |
| 0004A |
|
66 |
66 |
$320.00 |
| 0082A |
|
13 |
13 |
$240.00 |
| 0081A |
|
20 |
20 |
$200.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,481 |
7,390 |
$180.76 |
| 91307 |
|
731 |
614 |
$178.16 |
| 90670 |
|
1,519 |
1,505 |
$176.33 |
| 90633 |
|
1,114 |
1,105 |
$176.33 |
| 90744 |
|
108 |
108 |
$174.50 |
| 0074A |
|
31 |
31 |
$120.00 |
| 90710 |
|
1,106 |
1,099 |
$89.08 |
| 90697 |
|
248 |
247 |
$89.08 |
| 86580 |
|
408 |
405 |
$87.25 |
| 90700 |
|
428 |
425 |
$86.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,435 |
4,375 |
$65.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,923 |
2,897 |
$57.82 |
| 90474 |
|
1,192 |
1,183 |
$18.22 |
| 96160 |
|
3,453 |
3,425 |
$16.59 |
| 90715 |
|
506 |
505 |
$0.00 |
| 91300 |
|
753 |
667 |
$0.00 |
| 90734 |
|
193 |
193 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90647 |
|
342 |
338 |
$0.00 |
| 90698 |
|
779 |
777 |
$0.00 |
| 90680 |
|
1,196 |
1,188 |
$0.00 |
| 90619 |
|
947 |
944 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
43 |
$0.00 |
| 90696 |
|
431 |
429 |
$0.00 |
| 90688 |
|
513 |
509 |
$0.00 |
| 90677 |
|
367 |
367 |
$0.00 |
| 90381 |
|
28 |
26 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
25 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |