| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,752 |
3,010 |
$613K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,216 |
2,522 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
136 |
$590.24 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
244 |
$423.86 |
| 90686 |
|
29 |
15 |
$129.21 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
148 |
141 |
$0.00 |