| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,361 |
3,983 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,400 |
1,352 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,465 |
1,373 |
$11K |
| 90686 |
|
79 |
79 |
$643.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
111 |
$361.21 |
| 96127 |
|
603 |
600 |
$358.82 |
| 90656 |
|
18 |
18 |
$178.80 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$81.34 |
| 3078F |
|
1,107 |
1,063 |
$0.00 |
| 3079F |
|
868 |
846 |
$0.00 |
| 3074F |
|
1,660 |
1,582 |
$0.00 |
| 3075F |
|
105 |
101 |
$0.00 |
| 3080F |
|
39 |
38 |
$0.00 |