| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,436 |
16,346 |
$799K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,842 |
8,772 |
$288K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,526 |
4,142 |
$207K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
974 |
932 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
152 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
790 |
784 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
57 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
68 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
301 |
301 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
158 |
155 |
$2K |
| 90686 |
|
287 |
287 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
116 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
143 |
133 |
$942.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$800.69 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
156 |
152 |
$78.05 |
| 90734 |
|
12 |
12 |
$0.02 |
| 1159F |
|
1,474 |
1,427 |
$0.00 |
| 1160F |
|
1,475 |
1,428 |
$0.00 |
| 3077F |
|
29 |
27 |
$0.00 |