| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,371 |
6,522 |
$561K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,599 |
2,245 |
$558.86 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,264 |
3,492 |
$221.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
168 |
$19.68 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
75 |
$0.00 |
| 90686 |
|
133 |
123 |
$0.00 |