| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,679 |
6,185 |
$719K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
365 |
364 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
322 |
321 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
860 |
717 |
$13K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
418 |
381 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
64 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
15 |
14 |
$61.50 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90688 |
|
73 |
72 |
$0.00 |
| 90686 |
|
208 |
207 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$0.00 |
| 90461 |
|
422 |
248 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
954 |
935 |
$0.00 |
| 96160 |
|
452 |
449 |
$0.00 |