| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,164 |
15,633 |
$716K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,059 |
9,570 |
$265K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,741 |
3,437 |
$148K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
686 |
655 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
686 |
640 |
$4K |
| 90688 |
|
172 |
172 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$856.32 |
| 99441 |
|
84 |
75 |
$665.28 |
| 90686 |
|
28 |
28 |
$307.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
133 |
125 |
$303.52 |
| 99442 |
|
17 |
15 |
$262.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$177.97 |
| 3079F |
|
770 |
719 |
$0.00 |
| 3074F |
|
1,129 |
1,001 |
$0.00 |
| 3080F |
|
395 |
370 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
92 |
81 |
$0.00 |
| 3075F |
|
500 |
472 |
$0.00 |
| 3078F |
|
1,054 |
952 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
57 |
$0.00 |
| 3077F |
|
638 |
593 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
23 |
$0.00 |
| 90756 |
|
58 |
57 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |