| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,042 |
21,445 |
$5.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,039 |
14,940 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,776 |
4,706 |
$28K |
| 99307 |
|
1,034 |
680 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
841 |
606 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,490 |
2,298 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
536 |
515 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
212 |
108 |
$734.03 |
| 36415 |
Collection of venous blood by venipuncture |
3,768 |
3,370 |
$557.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,058 |
990 |
$538.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
29 |
$532.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
180 |
$525.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,013 |
965 |
$419.76 |
| 90686 |
|
558 |
507 |
$135.94 |
| 90715 |
|
164 |
152 |
$80.48 |
| 90682 |
|
91 |
88 |
$45.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
296 |
267 |
$3.85 |
| 1036F |
|
41 |
41 |
$0.00 |
| 90651 |
|
167 |
158 |
$0.00 |
| 3351F |
|
85 |
84 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90647 |
|
41 |
38 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
26 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90673 |
|
18 |
18 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 90656 |
|
59 |
53 |
$0.00 |
| 90696 |
|
30 |
29 |
$0.00 |
| 0001A |
|
24 |
23 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 90734 |
|
249 |
239 |
$0.00 |
| 90670 |
|
114 |
106 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94 |
88 |
$0.00 |
| 90633 |
|
27 |
25 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
271 |
268 |
$0.00 |
| 0071A |
|
13 |
13 |
$0.00 |
| 91300 |
|
78 |
76 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
125 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
40 |
$0.00 |
| 90710 |
|
31 |
30 |
$0.00 |
| 90461 |
|
32 |
32 |
$0.00 |