| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,390 |
13,652 |
$3.38M |
| 11721 |
|
2,033 |
1,901 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,399 |
6,296 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,509 |
3,914 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
491 |
468 |
$790.36 |
| 90686 |
|
137 |
126 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
68 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
217 |
206 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
117 |
$0.00 |
| 90734 |
|
42 |
37 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
32 |
27 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
24 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 90461 |
|
44 |
41 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
78 |
72 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
18 |
$0.00 |