| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,148 |
10,996 |
$627K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,953 |
4,741 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,126 |
3,885 |
$26K |
| 90686 |
|
507 |
504 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
994 |
980 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$509.53 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$370.47 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$342.17 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$322.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
171 |
168 |
$310.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
14 |
$197.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
67 |
$170.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$166.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
18 |
$26.36 |
| 96127 |
|
29 |
14 |
$7.14 |
| 81003 |
|
15 |
15 |
$5.61 |
| 85018 |
|
13 |
13 |
$3.92 |
| 90670 |
|
15 |
12 |
$0.00 |
| 91300 |
|
17 |
15 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |