| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,179 |
30,026 |
$8.50M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,571 |
3,310 |
$778K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,203 |
3,195 |
$768K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,626 |
2,608 |
$608K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,020 |
2,011 |
$465K |
| 99381 |
|
447 |
446 |
$92K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,671 |
1,652 |
$77K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
705 |
677 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
987 |
910 |
$35K |
| 99383 |
|
116 |
116 |
$26K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
843 |
841 |
$14K |
| 90686 |
|
1,886 |
1,877 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
516 |
447 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,072 |
6,417 |
$7K |
| 99382 |
|
28 |
26 |
$6K |
| 99384 |
|
14 |
14 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
43 |
43 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
839 |
829 |
$2K |
| 0071A |
|
83 |
77 |
$2K |
| 90715 |
|
510 |
505 |
$2K |
| 90723 |
|
1,045 |
1,041 |
$2K |
| 90710 |
|
1,249 |
1,245 |
$1K |
| 90633 |
|
1,386 |
1,378 |
$1K |
| 90651 |
|
664 |
661 |
$1K |
| 0001A |
|
72 |
72 |
$1K |
| 0002A |
|
39 |
39 |
$1K |
| 87428 |
|
16 |
15 |
$955.37 |
| 99305 |
|
12 |
12 |
$774.72 |
| 90700 |
|
456 |
452 |
$698.91 |
| 0072A |
|
15 |
15 |
$600.00 |
| 91301 |
|
38 |
37 |
$459.50 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$439.42 |
| 91307 |
|
140 |
129 |
$426.58 |
| 90461 |
|
4,903 |
4,016 |
$404.09 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
662 |
317 |
$262.97 |
| 0011A |
|
17 |
17 |
$254.10 |
| 90656 |
|
200 |
200 |
$235.18 |
| 90680 |
|
1,820 |
1,807 |
$232.97 |
| 90648 |
|
1,579 |
1,574 |
$232.97 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$232.97 |
| 90473 |
|
204 |
204 |
$10.00 |
| 90619 |
|
307 |
305 |
$0.02 |
| 90698 |
|
40 |
40 |
$0.00 |
| 90697 |
|
727 |
717 |
$0.00 |
| 90696 |
|
355 |
354 |
$0.00 |
| 90677 |
|
502 |
490 |
$0.00 |
| 92551 |
|
54 |
54 |
$0.00 |
| 92552 |
|
370 |
365 |
$0.00 |
| 90670 |
|
2,179 |
2,174 |
$0.00 |
| 91300 |
|
139 |
135 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
21 |
$0.00 |
| 99173 |
|
557 |
544 |
$0.00 |
| 90734 |
|
345 |
344 |
$0.00 |
| 84030 |
|
14 |
14 |
$0.00 |
| 90685 |
|
27 |
24 |
$0.00 |