| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,263 |
21,270 |
$2.57M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,495 |
1,473 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
469 |
468 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
540 |
534 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
198 |
$2K |
| 90461 |
|
408 |
404 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,617 |
9,609 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,776 |
8,000 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
126 |
$434.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
18 |
$141.02 |
| 90686 |
|
592 |
584 |
$68.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
378 |
373 |
$52.91 |
| 3079F |
|
14 |
13 |
$20.00 |
| 3078F |
|
45 |
39 |
$20.00 |
| 36415 |
Collection of venous blood by venipuncture |
194 |
190 |
$12.68 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
167 |
148 |
$8.56 |
| 90656 |
|
61 |
61 |
$0.00 |
| 3008F |
|
492 |
489 |
$0.00 |
| 90651 |
|
176 |
176 |
$0.00 |
| 96127 |
|
55 |
55 |
$0.00 |
| 90620 |
|
45 |
45 |
$0.00 |
| 3074F |
|
56 |
53 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
428 |
410 |
$0.00 |
| 99177 |
|
308 |
306 |
$0.00 |
| 90734 |
|
142 |
139 |
$0.00 |
| 90715 |
|
48 |
47 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
48 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
53 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |