| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,221 |
5,453 |
$1.42M |
| 3725F |
|
879 |
816 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
406 |
$94.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
127 |
$21.84 |
| 99173 |
|
29 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
28 |
$0.00 |
| 81025 |
|
14 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
25 |
$0.00 |
| 3008F |
|
867 |
732 |
$0.00 |
| 90686 |
|
150 |
150 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
393 |
342 |
$0.00 |
| 1036F |
|
318 |
285 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |
| 99000 |
|
20 |
20 |
$0.00 |