| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
839 |
745 |
$254K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
175 |
$286.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$24.11 |
| 1159F |
|
611 |
565 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
206 |
187 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$0.00 |
| 3078F |
|
318 |
280 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
183 |
163 |
$0.00 |
| 2001F |
|
430 |
380 |
$0.00 |
| 3074F |
|
298 |
262 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
222 |
203 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| 90660 |
|
16 |
16 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$0.00 |