| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,763 |
10,396 |
$866K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,816 |
9,421 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,901 |
4,111 |
$554.96 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
114 |
$156.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
867 |
700 |
$96.74 |
| 92551 |
|
363 |
335 |
$74.43 |
| 99173 |
|
363 |
335 |
$17.53 |
| 81002 |
|
180 |
156 |
$2.03 |
| 99307 |
|
1,596 |
1,516 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
614 |
218 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
91 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
285 |
238 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
14 |
$0.00 |
| 81003 |
|
97 |
82 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
445 |
356 |
$0.00 |
| 84703 |
|
119 |
103 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,455 |
1,344 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
236 |
199 |
$0.00 |
| 90686 |
|
215 |
184 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
40 |
34 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
122 |
97 |
$0.00 |