| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,768 |
8,228 |
$1.22M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$399.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,502 |
2,247 |
$133.60 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
18 |
13 |
$92.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,480 |
4,465 |
$78.38 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
26 |
$0.00 |
| 90686 |
|
137 |
133 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
117 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
45 |
30 |
$0.00 |
| 90688 |
|
32 |
31 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$0.00 |