| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,493 |
12,503 |
$6.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,345 |
5,672 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
801 |
738 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,315 |
1,161 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
123 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
111 |
$9K |
| 99215 |
Prolong outpt/office vis |
136 |
121 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
704 |
631 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
69 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
275 |
260 |
$4K |
| 90658 |
|
82 |
81 |
$1K |
| 0134A |
|
22 |
21 |
$720.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
187 |
$514.22 |
| 0012A |
|
135 |
130 |
$402.12 |
| 0064A |
|
15 |
15 |
$400.01 |
| 90837 |
Psychotherapy, 53 minutes with patient |
23 |
13 |
$387.64 |
| 36415 |
Collection of venous blood by venipuncture |
227 |
215 |
$377.36 |
| 0124A |
|
12 |
12 |
$360.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
21 |
$326.76 |
| 36416 |
|
72 |
69 |
$303.20 |
| 0031A |
|
39 |
39 |
$146.56 |
| 0011A |
|
67 |
67 |
$88.10 |
| 90686 |
|
42 |
42 |
$43.04 |
| 81003 |
|
26 |
25 |
$40.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
40 |
$7.38 |
| 91306 |
|
15 |
15 |
$0.00 |
| 91301 |
|
245 |
239 |
$0.00 |
| 96164 |
|
33 |
16 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 91303 |
|
12 |
12 |
$0.00 |
| 96165 |
|
31 |
15 |
$0.00 |
| 91313 |
|
26 |
25 |
$0.00 |