| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
23,796 |
16,605 |
$4.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,004 |
2,577 |
$22K |
| 0001A |
|
12 |
12 |
$203.28 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
130 |
$187.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
255 |
$143.30 |
| 93000 |
|
67 |
66 |
$136.35 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
98 |
$99.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
985 |
910 |
$75.33 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$75.00 |
| 93040 |
|
67 |
66 |
$62.10 |
| 36415 |
Collection of venous blood by venipuncture |
947 |
929 |
$13.23 |
| 99173 |
|
84 |
84 |
$0.00 |
| 92552 |
|
84 |
84 |
$0.00 |
| 3078F |
|
859 |
756 |
$0.00 |
| 1158F |
|
115 |
115 |
$0.00 |
| 1159F |
|
1,107 |
855 |
$0.00 |
| 1160F |
|
66 |
57 |
$0.00 |
| 3074F |
|
945 |
825 |
$0.00 |
| 1036F |
|
812 |
650 |
$0.00 |
| 3008F |
|
1,274 |
1,077 |
$0.00 |
| 3075F |
|
70 |
68 |
$0.00 |
| 1034F |
|
23 |
15 |
$0.00 |
| 85018 |
|
100 |
100 |
$0.00 |
| 3079F |
|
142 |
133 |
$0.00 |
| 90686 |
|
37 |
37 |
$0.00 |