| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,123 |
30,782 |
$4.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,858 |
32,165 |
$815.33 |
| 0012A |
|
133 |
119 |
$384.56 |
| 0011A |
|
122 |
113 |
$186.24 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
510 |
446 |
$96.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,624 |
1,291 |
$0.00 |
| 0013A |
|
13 |
13 |
$0.00 |
| 90649 |
|
13 |
12 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
29 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
25 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$0.00 |
| 90756 |
|
13 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
45 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,718 |
1,429 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,224 |
968 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,886 |
2,330 |
$0.00 |
| 88150 |
|
381 |
316 |
$0.00 |
| 91301 |
|
311 |
283 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
185 |
157 |
$0.00 |
| 99385 |
|
151 |
127 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
618 |
325 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
12 |
$0.00 |
| 99443 |
|
95 |
69 |
$0.00 |