| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,432 |
19,356 |
$2.03M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,353 |
1,339 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
762 |
750 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,914 |
6,476 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
740 |
732 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,508 |
7,091 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
412 |
406 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
677 |
663 |
$2K |
| 90461 |
|
244 |
240 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
233 |
221 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,153 |
2,119 |
$546.73 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
123 |
121 |
$468.88 |
| 96127 |
|
420 |
413 |
$430.57 |
| 90686 |
|
1,443 |
1,415 |
$258.45 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
492 |
489 |
$206.04 |
| 99173 |
|
397 |
392 |
$156.75 |
| 90651 |
|
159 |
156 |
$147.84 |
| 3074F |
|
48 |
44 |
$80.00 |
| 99215 |
Prolong outpt/office vis |
351 |
336 |
$63.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
539 |
530 |
$57.55 |
| 3078F |
|
33 |
28 |
$40.00 |
| 0134A |
|
29 |
28 |
$40.00 |
| 3079F |
|
14 |
14 |
$20.00 |
| 90670 |
|
78 |
76 |
$0.00 |
| 90734 |
|
99 |
98 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
383 |
359 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$0.00 |
| 90633 |
|
49 |
49 |
$0.00 |
| 90715 |
|
72 |
71 |
$0.00 |
| 99177 |
|
72 |
72 |
$0.00 |
| 3008F |
|
584 |
580 |
$0.00 |
| 90656 |
|
128 |
128 |
$0.00 |
| 90620 |
|
39 |
39 |
$0.00 |
| 91306 |
|
16 |
16 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |