| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,653 |
22,604 |
$5.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,313 |
18,741 |
$562K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,333 |
9,608 |
$360K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
8,876 |
2,758 |
$285K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,114 |
1,484 |
$91K |
| 99307 |
|
5,682 |
1,829 |
$62K |
| 99335 |
|
1,718 |
772 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,344 |
2,867 |
$30K |
| 99348 |
|
296 |
245 |
$17K |
| 11721 |
|
1,216 |
1,019 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
254 |
245 |
$10K |
| 99334 |
|
1,304 |
536 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
102 |
94 |
$6K |
| 99325 |
|
54 |
54 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,547 |
1,462 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,930 |
1,886 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,348 |
2,243 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,301 |
2,249 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,034 |
996 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
98 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$969.34 |
| G0008 |
Administration of influenza virus vaccine |
154 |
154 |
$674.32 |
| G0009 |
Administration of pneumococcal vaccine |
331 |
327 |
$508.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
851 |
817 |
$476.01 |
| 90662 |
|
64 |
64 |
$455.12 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$452.76 |
| 90680 |
|
157 |
152 |
$238.00 |
| 90686 |
|
376 |
357 |
$140.77 |
| 90656 |
|
161 |
159 |
$0.00 |
| 90698 |
|
371 |
359 |
$0.00 |
| 90744 |
|
51 |
49 |
$0.00 |
| 90651 |
|
26 |
25 |
$0.00 |
| 90670 |
|
238 |
227 |
$0.00 |
| 90671 |
|
152 |
151 |
$0.00 |
| 90734 |
|
43 |
42 |
$0.00 |
| 90633 |
|
102 |
90 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |