| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,176 |
16,312 |
$2.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,412 |
1,261 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
178 |
168 |
$23K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,271 |
992 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
193 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
128 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
54 |
51 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 99307 |
|
132 |
114 |
$960.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
302 |
132 |
$263.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
382 |
366 |
$7.84 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90670 |
|
56 |
56 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |