| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,166 |
15,666 |
$1.96M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,332 |
2,297 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,321 |
1,277 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,359 |
1,347 |
$13K |
| 90461 |
|
1,607 |
1,586 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
684 |
680 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
218 |
$891.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,746 |
2,530 |
$210.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
177 |
$76.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,990 |
7,881 |
$58.00 |
| 59425 |
|
1,127 |
702 |
$0.00 |
| 90670 |
|
693 |
679 |
$0.00 |
| 90648 |
|
552 |
542 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$0.00 |
| 90697 |
|
92 |
91 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,176 |
1,103 |
$0.00 |
| 90686 |
|
565 |
562 |
$0.00 |
| 90680 |
|
269 |
265 |
$0.00 |
| 90723 |
|
266 |
256 |
$0.00 |
| 90677 |
|
164 |
163 |
$0.00 |
| 90651 |
|
43 |
43 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
31 |
29 |
$0.00 |
| 90656 |
|
96 |
96 |
$0.00 |