| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,647 |
3,652 |
$617K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
583 |
510 |
$66K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
545 |
480 |
$8K |
| 99307 |
|
663 |
569 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$1K |
| 90677 |
|
18 |
18 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
34 |
$0.00 |