| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,494 |
3,128 |
$663K |
| 92551 |
|
57 |
57 |
$210.00 |
| 92552 |
|
26 |
20 |
$170.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
49 |
$168.00 |
| 99173 |
|
99 |
93 |
$125.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$105.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$70.00 |
| 3008F |
|
1,632 |
1,566 |
$0.02 |
| 3078F |
|
989 |
950 |
$0.01 |
| 1036F |
|
619 |
589 |
$0.01 |
| 3074F |
|
1,144 |
1,093 |
$0.01 |
| 1000F |
|
73 |
69 |
$0.01 |
| 1159F |
|
1,027 |
980 |
$0.00 |
| 1160F |
|
1,280 |
1,215 |
$0.00 |
| 3725F |
|
92 |
91 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,769 |
1,624 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
388 |
$0.00 |
| 1034F |
|
15 |
14 |
$0.00 |
| 3079F |
|
81 |
80 |
$0.00 |