| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,032 |
18,357 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,876 |
7,437 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,041 |
6,618 |
$18K |
| 90686 |
|
1,515 |
1,515 |
$11K |
| 91322 |
|
66 |
66 |
$6K |
| 90739 |
|
64 |
64 |
$6K |
| 90671 |
|
257 |
257 |
$5K |
| 90746 |
|
121 |
120 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,218 |
2,193 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
296 |
296 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,378 |
1,374 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
247 |
247 |
$2K |
| 90480 |
|
74 |
73 |
$2K |
| 90750 |
|
68 |
68 |
$2K |
| 90670 |
|
29 |
29 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
259 |
$1K |
| 90632 |
|
79 |
79 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
179 |
$1K |
| 90656 |
|
106 |
106 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
506 |
476 |
$801.18 |
| 36415 |
Collection of venous blood by venipuncture |
1,993 |
1,936 |
$776.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
486 |
485 |
$754.61 |
| 0054A |
|
29 |
29 |
$638.01 |
| 0004A |
|
23 |
23 |
$605.60 |
| 90732 |
|
12 |
12 |
$599.60 |
| 90651 |
|
27 |
27 |
$458.68 |
| 90715 |
|
42 |
42 |
$456.52 |
| 0124A |
|
80 |
80 |
$399.80 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
124 |
$357.90 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$229.23 |
| 0001A |
|
12 |
12 |
$227.10 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
71 |
$223.84 |
| 87428 |
|
105 |
105 |
$167.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
455 |
455 |
$148.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
31 |
$137.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$76.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$65.97 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
382 |
224 |
$35.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
353 |
334 |
$17.50 |
| 81003 |
|
114 |
112 |
$13.85 |
| 36416 |
|
728 |
710 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
128 |
126 |
$0.00 |
| 90461 |
|
419 |
419 |
$0.00 |
| 90648 |
|
50 |
50 |
$0.00 |
| 91300 |
|
121 |
104 |
$0.00 |
| 99307 |
|
117 |
64 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |