| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,163 |
44,889 |
$5.45M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,388 |
8,316 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,711 |
4,618 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,589 |
4,544 |
$45K |
| 90461 |
|
5,599 |
5,553 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,580 |
2,569 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,727 |
1,704 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,324 |
21,147 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
888 |
856 |
$3K |
| 59425 |
|
4,713 |
2,991 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,474 |
5,180 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
131 |
122 |
$838.98 |
| 99381 |
|
14 |
14 |
$702.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
116 |
116 |
$615.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,015 |
961 |
$499.10 |
| 90686 |
|
2,620 |
2,595 |
$304.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,956 |
1,900 |
$303.27 |
| 90651 |
|
433 |
428 |
$147.84 |
| 36415 |
Collection of venous blood by venipuncture |
5,533 |
5,256 |
$141.11 |
| 90715 |
|
1,104 |
1,092 |
$80.48 |
| 3074F |
|
34 |
33 |
$60.00 |
| 3079F |
|
33 |
29 |
$60.00 |
| 3078F |
|
29 |
28 |
$40.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
96 |
$39.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
104 |
103 |
$20.36 |
| 3075F |
|
12 |
12 |
$20.00 |
| 90710 |
|
543 |
537 |
$0.00 |
| 90734 |
|
548 |
540 |
$0.00 |
| 90670 |
|
3,026 |
2,992 |
$0.00 |
| 90700 |
|
507 |
507 |
$0.00 |
| 90707 |
|
394 |
393 |
$0.00 |
| 99177 |
|
773 |
769 |
$0.00 |
| 90633 |
|
1,023 |
1,013 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
37 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
97 |
$0.00 |
| 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) |
37 |
37 |
$0.00 |
| 3008F |
|
699 |
694 |
$0.00 |
| 90677 |
|
778 |
775 |
$0.00 |
| 90647 |
|
2,224 |
2,192 |
$0.00 |
| 90723 |
|
2,083 |
2,054 |
$0.00 |
| 90697 |
|
723 |
721 |
$0.00 |
| 90680 |
|
1,214 |
1,202 |
$0.00 |
| 90696 |
|
304 |
303 |
$0.00 |
| 90716 |
|
398 |
396 |
$0.00 |
| 90620 |
|
43 |
42 |
$0.00 |
| 90656 |
|
330 |
328 |
$0.00 |
| 96127 |
|
40 |
40 |
$0.00 |
| 59430 |
|
27 |
25 |
$0.00 |