| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
46,258 |
36,385 |
$7.04M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,686 |
4,624 |
$751K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,989 |
3,895 |
$643K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,235 |
3,194 |
$534K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,475 |
1,450 |
$232K |
| 99381 |
|
584 |
557 |
$88K |
| 90686 |
|
3,251 |
3,192 |
$34K |
| 81002 |
|
440 |
321 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260 |
244 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,809 |
3,122 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,385 |
7,224 |
$6K |
| 90715 |
|
582 |
530 |
$5K |
| 90651 |
|
728 |
709 |
$4K |
| 90633 |
|
1,575 |
1,547 |
$4K |
| 99384 |
|
29 |
29 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
27 |
$4K |
| 90656 |
|
194 |
191 |
$3K |
| 90670 |
|
2,891 |
2,848 |
$3K |
| 99383 |
|
13 |
13 |
$2K |
| CP005 |
|
125 |
105 |
$2K |
| 90700 |
|
617 |
605 |
$2K |
| 90723 |
|
779 |
770 |
$2K |
| 99307 |
|
73 |
73 |
$2K |
| 90698 |
|
658 |
647 |
$1K |
| 90696 |
|
567 |
560 |
$1K |
| 90734 |
|
458 |
453 |
$1K |
| 90710 |
|
630 |
620 |
$866.82 |
| 90648 |
|
1,525 |
1,495 |
$699.36 |
| 90707 |
|
731 |
715 |
$685.58 |
| 90716 |
|
731 |
716 |
$511.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$445.88 |
| 90681 |
|
1,384 |
1,358 |
$354.78 |
| 81025 |
|
19 |
14 |
$348.16 |
| 90697 |
|
496 |
490 |
$346.98 |
| 90381 |
|
12 |
12 |
$174.08 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$170.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
645 |
638 |
$165.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,382 |
4,005 |
$92.52 |
| 3078F |
|
631 |
617 |
$0.00 |
| 90461 |
|
5,406 |
1,780 |
$0.00 |
| 99173 |
|
188 |
181 |
$0.00 |
| 90473 |
|
379 |
375 |
$0.00 |
| 96381 |
|
13 |
13 |
$0.00 |
| 3074F |
|
1,081 |
1,058 |
$0.00 |
| 3008F |
|
1,811 |
1,762 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
42 |
$0.00 |
| 90677 |
|
305 |
303 |
$0.00 |
| 96161 |
|
37 |
34 |
$0.00 |
| 90619 |
|
16 |
15 |
$0.00 |
| 92551 |
|
34 |
34 |
$0.00 |