| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,924 |
19,300 |
$4.66M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
377 |
358 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
332 |
319 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,928 |
1,869 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,351 |
1,238 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
92 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
434 |
425 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
294 |
278 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
128 |
116 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
243 |
212 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
136 |
135 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
975 |
950 |
$536.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,398 |
654 |
$356.24 |
| 99305 |
|
12 |
12 |
$64.44 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
28 |
28 |
$0.00 |
| 90680 |
|
41 |
39 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
26 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 90670 |
|
223 |
217 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |