| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,379 |
1,913 |
$409K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,266 |
1,041 |
$86.46 |
| 90688 |
|
38 |
37 |
$33.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
65 |
$5.09 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
370 |
340 |
$0.00 |
| 81025 |
|
462 |
413 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
27 |
$0.00 |
| 81003 |
|
86 |
82 |
$0.00 |
| 81002 |
|
804 |
638 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$0.00 |