| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,809 |
9,750 |
$1.30M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
533 |
511 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
357 |
352 |
$41K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,768 |
1,239 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
58 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
58 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
988 |
744 |
$6K |
| 90686 |
|
184 |
178 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
870 |
802 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
254 |
$966.29 |
| 90670 |
|
213 |
212 |
$351.55 |
| 99310 |
Prolong nursin fac eval 15m |
14 |
14 |
$226.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,955 |
1,206 |
$130.55 |
| 90677 |
|
90 |
90 |
$123.03 |
| 90698 |
|
28 |
24 |
$116.09 |
| 99318 |
|
13 |
13 |
$88.50 |
| 90461 |
|
844 |
711 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 81002 |
|
14 |
12 |
$0.00 |
| 90680 |
|
103 |
99 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$0.00 |
| 90697 |
|
16 |
16 |
$0.00 |