| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,970 |
6,854 |
$826K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,062 |
922 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,688 |
1,387 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,247 |
1,051 |
$3K |
| 0002A |
|
15 |
15 |
$902.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
12 |
$297.27 |
| 99306 |
Prolong nursin fac eval 15m |
113 |
104 |
$203.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$203.00 |
| 91300 |
|
61 |
61 |
$0.00 |