| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,087 |
2,347 |
$644K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,811 |
1,486 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
88 |
75 |
$2K |
| 96127 |
|
58 |
57 |
$123.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
56 |
$86.02 |
| 3074F |
|
204 |
177 |
$60.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
111 |
$24.87 |
| 3079F |
|
52 |
49 |
$20.00 |
| 90686 |
|
17 |
14 |
$20.00 |
| 3078F |
|
70 |
60 |
$20.00 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
55 |
$15.33 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$0.00 |