| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
12,525 |
10,081 |
$2.20M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,231 |
958 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
371 |
291 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,990 |
5,129 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
143 |
$980.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
227 |
212 |
$393.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,223 |
2,737 |
$270.71 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
464 |
389 |
$116.63 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
25 |
$86.94 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
27 |
$3.17 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 99173 |
|
58 |
58 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90656 |
|
25 |
19 |
$0.00 |
| 90651 |
|
29 |
25 |
$0.00 |
| 3008F |
|
111 |
108 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
38 |
$0.00 |
| 90686 |
|
76 |
75 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |