| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,028 |
5,019 |
$422K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,198 |
2,042 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,772 |
1,625 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
190 |
188 |
$647.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
753 |
721 |
$644.00 |
| 90686 |
|
415 |
396 |
$494.78 |
| 90732 |
|
13 |
13 |
$215.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
280 |
273 |
$196.00 |
| 36415 |
Collection of venous blood by venipuncture |
591 |
547 |
$188.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
191 |
183 |
$182.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
73 |
$145.58 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
37 |
$80.39 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
26 |
$73.74 |
| 90746 |
|
42 |
41 |
$65.12 |
| 90632 |
|
19 |
19 |
$58.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$26.24 |
| 96127 |
|
54 |
51 |
$21.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119 |
117 |
$17.57 |
| 81003 |
|
90 |
87 |
$15.94 |
| 36416 |
|
395 |
346 |
$13.74 |
| 90461 |
|
33 |
33 |
$0.00 |
| 99307 |
|
259 |
187 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
22 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
388 |
382 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
256 |
190 |
$0.00 |