| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,501 |
3,050 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,292 |
2,075 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,588 |
1,468 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 99354 |
|
13 |
13 |
$918.73 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$876.30 |
| 36415 |
Collection of venous blood by venipuncture |
557 |
508 |
$670.15 |
| 90461 |
|
13 |
13 |
$226.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$176.55 |
| 3074F |
|
13 |
13 |
$0.00 |
| 3078F |
|
21 |
20 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |