| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,586 |
3,702 |
$436K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,419 |
1,269 |
$753.27 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,214 |
1,904 |
$341.46 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
52 |
$94.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
203 |
201 |
$22.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
78 |
$5.35 |
| 99173 |
|
19 |
17 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
84 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
37 |
$0.00 |
| 90461 |
|
40 |
39 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
32 |
$0.00 |
| 90686 |
|
160 |
158 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
29 |
$0.00 |
| 90651 |
|
21 |
21 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$0.00 |