| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,751 |
29,509 |
$4.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,948 |
17,787 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,100 |
3,648 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,904 |
2,739 |
$565.07 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
13 |
$524.74 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
189 |
168 |
$277.41 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
273 |
256 |
$83.93 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
269 |
263 |
$82.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$82.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
397 |
359 |
$65.86 |
| 90686 |
|
185 |
180 |
$60.00 |
| 0001A |
|
14 |
13 |
$25.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
861 |
819 |
$21.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
533 |
498 |
$17.89 |
| 81003 |
|
143 |
133 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
255 |
241 |
$0.00 |
| 90473 |
|
63 |
61 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
120 |
98 |
$0.00 |
| 90474 |
|
17 |
17 |
$0.00 |
| 99000 |
|
85 |
78 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |