| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,075 |
21,591 |
$1.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,734 |
10,945 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,506 |
6,985 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
538 |
530 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
432 |
427 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
973 |
969 |
$427.00 |
| 99205 |
Prolong outpt/office vis |
45 |
45 |
$347.67 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
53 |
$197.49 |
| 90686 |
|
189 |
188 |
$152.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
426 |
425 |
$126.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
63 |
59 |
$111.67 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
327 |
327 |
$73.74 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
148 |
146 |
$68.54 |
| 90656 |
|
24 |
23 |
$19.77 |
| 3079F |
|
13 |
13 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
268 |
237 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
168 |
168 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
515 |
285 |
$0.00 |
| 3074F |
|
25 |
25 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
53 |
45 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
74 |
$0.00 |
| 96127 |
|
110 |
109 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
272 |
272 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
150 |
150 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
208 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
233 |
232 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
104 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
35 |
24 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 3078F |
|
19 |
19 |
$0.00 |