| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,211 |
8,717 |
$512K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,931 |
2,717 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,065 |
4,595 |
$5K |
| 90686 |
|
105 |
102 |
$194.51 |
| 36415 |
Collection of venous blood by venipuncture |
989 |
938 |
$134.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
180 |
$131.97 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
53 |
$89.98 |
| 90656 |
|
12 |
12 |
$44.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$35.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
38 |
$7.00 |
| 81002 |
|
84 |
81 |
$5.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
73 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19 |
19 |
$0.00 |