| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,376 |
24,518 |
$4.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,845 |
7,680 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,540 |
8,221 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
612 |
581 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
856 |
771 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
408 |
348 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,089 |
2,916 |
$8K |
| 90686 |
|
830 |
791 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
531 |
506 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
62 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
66 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
95 |
90 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,139 |
1,079 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
26 |
$716.89 |
| 90670 |
|
379 |
367 |
$80.66 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
622 |
589 |
$60.07 |
| 96127 |
|
482 |
440 |
$39.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
515 |
492 |
$8.32 |
| 90656 |
|
107 |
107 |
$0.00 |
| 99441 |
|
56 |
48 |
$0.00 |
| 98967 |
|
75 |
71 |
$0.00 |
| 90698 |
|
124 |
119 |
$0.00 |
| 99383 |
|
26 |
26 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
44 |
42 |
$0.00 |
| 90744 |
|
42 |
42 |
$0.00 |
| 99443 |
|
19 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
209 |
197 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
463 |
440 |
$0.00 |
| 11721 |
|
88 |
86 |
$0.00 |
| 98966 |
|
64 |
61 |
$0.00 |
| 90715 |
|
89 |
84 |
$0.00 |
| 99442 |
|
62 |
51 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
26 |
$0.00 |
| 90671 |
|
40 |
40 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 98968 |
|
23 |
21 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
41 |
26 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |