| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,133 |
11,407 |
$2.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
562 |
558 |
$97K |
| 99307 |
|
3,002 |
2,996 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
396 |
381 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
354 |
349 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
150 |
$24K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
181 |
181 |
$7K |
| 99000 |
|
180 |
173 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,643 |
839 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
46 |
$4K |
| 90686 |
|
187 |
183 |
$4K |
| CP005 |
|
111 |
104 |
$2K |
| 99305 |
|
40 |
40 |
$2K |
| 90670 |
|
345 |
333 |
$1K |
| 99304 |
|
12 |
12 |
$343.92 |
| CP006 |
|
28 |
28 |
$285.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
502 |
484 |
$170.50 |
| 90734 |
|
38 |
35 |
$170.50 |
| 90696 |
|
13 |
13 |
$168.15 |
| 90461 |
|
1,538 |
526 |
$0.20 |
| 3074F |
|
81 |
81 |
$0.00 |
| 3008F |
|
227 |
224 |
$0.00 |
| 90723 |
|
54 |
50 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
143 |
140 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90648 |
|
105 |
101 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
278 |
268 |
$0.00 |
| 90633 |
|
80 |
79 |
$0.00 |
| 3078F |
|
67 |
67 |
$0.00 |
| 90681 |
|
15 |
15 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 90473 |
|
15 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
14 |
$0.00 |
| 90710 |
|
16 |
15 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |