| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,480 |
14,660 |
$1.79M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
157 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
229 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,324 |
1,305 |
$710.75 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,749 |
7,640 |
$447.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,291 |
4,839 |
$384.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
189 |
184 |
$334.56 |
| 90686 |
|
472 |
456 |
$321.70 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
53 |
$260.82 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
187 |
182 |
$158.05 |
| 3074F |
|
16 |
16 |
$20.00 |
| 3078F |
|
13 |
13 |
$20.00 |
| 3008F |
|
185 |
182 |
$0.00 |
| 90651 |
|
43 |
42 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90734 |
|
49 |
49 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$0.00 |
| 99173 |
|
18 |
18 |
$0.00 |
| 90746 |
|
14 |
14 |
$0.00 |
| 90461 |
|
29 |
29 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |