| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
47,060 |
38,474 |
$6.21M |
| 11721 |
|
612 |
582 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,740 |
3,625 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,139 |
23,282 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,702 |
2,319 |
$3K |
| 90686 |
|
781 |
763 |
$2K |
| 90651 |
|
144 |
143 |
$816.80 |
| 90734 |
|
183 |
169 |
$573.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,451 |
4,071 |
$437.31 |
| 99307 |
|
463 |
456 |
$325.51 |
| 90710 |
|
95 |
91 |
$213.70 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
29 |
$162.00 |
| 90715 |
|
127 |
126 |
$161.18 |
| 90670 |
|
910 |
895 |
$112.56 |
| 90696 |
|
92 |
89 |
$102.33 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
646 |
627 |
$90.07 |
| 90648 |
|
270 |
267 |
$82.47 |
| 90473 |
|
51 |
51 |
$78.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,810 |
4,495 |
$67.47 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
890 |
807 |
$61.24 |
| 90633 |
|
125 |
122 |
$57.48 |
| 90682 |
|
13 |
13 |
$36.38 |
| 90647 |
|
308 |
302 |
$22.77 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,519 |
1,479 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
677 |
669 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,665 |
1,500 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
64 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$0.00 |
| 90681 |
|
30 |
30 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
36 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
155 |
139 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
14 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 17110 |
|
13 |
12 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90723 |
|
545 |
539 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |
| 90474 |
|
15 |
15 |
$0.00 |
| 90656 |
|
59 |
59 |
$0.00 |
| 90680 |
|
256 |
254 |
$0.00 |
| 90677 |
|
33 |
31 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
40 |
39 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |