| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,428 |
21,707 |
$7.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,267 |
5,709 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
14 |
12 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
43 |
38 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,895 |
12,017 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
893 |
835 |
$165.47 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,465 |
2,203 |
$133.00 |
| 90461 |
|
1,433 |
1,179 |
$129.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
328 |
316 |
$32.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
727 |
525 |
$3.92 |
| 90670 |
|
486 |
467 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
274 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
288 |
281 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
42 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
884 |
762 |
$0.00 |
| 90734 |
|
104 |
104 |
$0.00 |
| 90473 |
|
16 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
339 |
$0.00 |
| 90648 |
|
487 |
467 |
$0.00 |
| 90633 |
|
208 |
191 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$0.00 |
| 90715 |
|
40 |
40 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
136 |
133 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 90723 |
|
236 |
223 |
$0.00 |
| 90686 |
|
308 |
298 |
$0.00 |
| 92567 |
|
38 |
35 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
144 |
104 |
$0.00 |
| 90680 |
|
182 |
175 |
$0.00 |
| 90634 |
|
64 |
64 |
$0.00 |
| 90651 |
|
82 |
79 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
63 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$0.00 |
| 90619 |
|
26 |
25 |
$0.00 |