| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,297 |
5,559 |
$978K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
894 |
822 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
209 |
195 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
139 |
135 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
424 |
418 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
789 |
719 |
$352.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
69 |
$274.40 |
| 90686 |
|
273 |
270 |
$53.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
137 |
103 |
$27.50 |
| 90733 |
|
12 |
12 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |