| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,103 |
2,833 |
$254K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
413 |
356 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,033 |
1,006 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,464 |
1,350 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$275.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
142 |
142 |
$187.65 |
| 90686 |
|
20 |
16 |
$130.00 |
| 90734 |
|
16 |
16 |
$88.00 |
| 90715 |
|
13 |
13 |
$77.00 |
| 90461 |
|
81 |
81 |
$21.08 |
| 96127 |
|
60 |
58 |
$17.60 |
| 92551 |
|
57 |
56 |
$15.61 |
| 99173 |
|
79 |
78 |
$9.00 |
| 1111F |
|
283 |
277 |
$0.00 |
| 3074F |
|
1,862 |
1,766 |
$0.00 |
| 3079F |
|
596 |
580 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
291 |
287 |
$0.00 |
| 3008F |
|
107 |
104 |
$0.00 |
| 3075F |
|
115 |
111 |
$0.00 |
| 3078F |
|
1,397 |
1,328 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$0.00 |
| 3077F |
|
70 |
66 |
$0.00 |
| 96160 |
|
34 |
34 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |