| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,309 |
10,721 |
$898K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,243 |
3,918 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,209 |
1,099 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
409 |
397 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
465 |
$17K |
| 87428 |
|
327 |
279 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,295 |
1,011 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
518 |
490 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
53 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
200 |
171 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
39 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
40 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
74 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
19 |
16 |
$998.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,252 |
1,176 |
$568.18 |
| 99305 |
|
71 |
69 |
$522.72 |
| 99310 |
Prolong nursin fac eval 15m |
385 |
269 |
$482.03 |
| 90661 |
|
50 |
49 |
$294.99 |
| 90686 |
|
258 |
243 |
$165.36 |
| 90674 |
|
13 |
13 |
$26.16 |
| 3074F |
|
14 |
13 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
34 |
$0.00 |
| 3008F |
|
17 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
385 |
214 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 1160F |
|
18 |
17 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 1159F |
|
18 |
17 |
$0.00 |