| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,076 |
8,930 |
$632K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,319 |
4,542 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
924 |
833 |
$6K |
| 90686 |
|
236 |
215 |
$5K |
| 90658 |
|
62 |
62 |
$1K |
| 94760 |
|
187 |
174 |
$1K |
| 90688 |
|
43 |
43 |
$913.68 |
| 92552 |
|
535 |
472 |
$888.93 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$440.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
50 |
$438.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
15 |
$243.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
100 |
87 |
$184.80 |
| 81002 |
|
758 |
672 |
$143.77 |
| 85018 |
|
656 |
599 |
$134.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
45 |
$95.91 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
45 |
$87.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$0.00 |
| 01 |
Inj., retisert, 0.01 mg |
578 |
495 |
$0.00 |
| 99173 |
|
29 |
29 |
$0.00 |