| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,742 |
5,988 |
$924K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,553 |
3,799 |
$60.53 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,290 |
1,109 |
$15.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
45 |
$5.09 |
| 90688 |
|
34 |
34 |
$0.00 |
| 90686 |
|
47 |
47 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
146 |
143 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
96 |
$0.00 |
| 90461 |
|
14 |
12 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |