| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,074 |
9,161 |
$940K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
376 |
255 |
$4K |
| 99335 |
|
339 |
196 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,629 |
3,187 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,037 |
900 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
201 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
65 |
46 |
$922.56 |
| 90688 |
|
82 |
82 |
$96.05 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
52 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
122 |
122 |
$0.00 |
| 86328 |
|
18 |
18 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$0.00 |