| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,779 |
8,281 |
$1.01M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,848 |
4,377 |
$24K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,085 |
2,488 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
98 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
25 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
79 |
79 |
$710.00 |
| 99305 |
|
170 |
169 |
$695.23 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
29 |
$504.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
259 |
227 |
$166.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
524 |
511 |
$13.89 |
| 90461 |
|
76 |
55 |
$0.00 |
| 99307 |
|
29 |
25 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
44 |
43 |
$0.00 |
| 90674 |
|
52 |
31 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
73 |
$0.00 |
| 90686 |
|
36 |
26 |
$0.00 |