| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,762 |
1,590 |
$258K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
728 |
613 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
53 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
42 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
553 |
423 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
597 |
319 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$897.37 |
| 90686 |
|
109 |
105 |
$382.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
572 |
553 |
$380.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
279 |
153 |
$63.78 |
| 3074F |
|
285 |
279 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
41 |
$0.00 |
| 3008F |
|
510 |
498 |
$0.00 |
| 1036F |
|
352 |
347 |
$0.00 |
| 96127 |
|
138 |
119 |
$0.00 |
| 1160F |
|
492 |
478 |
$0.00 |
| 3078F |
|
230 |
226 |
$0.00 |
| 1159F |
|
337 |
328 |
$0.00 |
| 99173 |
|
191 |
180 |
$0.00 |
| 3725F |
|
46 |
46 |
$0.00 |