| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,122 |
4,695 |
$454K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
130 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
113 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
466 |
382 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
115 |
115 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 0001A |
|
25 |
25 |
$600.00 |
| 0071A |
|
21 |
21 |
$212.20 |
| 0072A |
|
19 |
19 |
$120.00 |
| 92551 |
|
69 |
68 |
$91.25 |
| 0002A |
|
15 |
15 |
$80.00 |
| 85018 |
|
342 |
317 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
474 |
368 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |
| 90674 |
|
24 |
21 |
$0.00 |
| 81003 |
|
201 |
183 |
$0.00 |
| 99173 |
|
389 |
356 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
50 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
33 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
21 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$0.00 |