| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,294 |
5,654 |
$1.37M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
632 |
619 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
132 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
126 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
146 |
$788.20 |
| 90461 |
|
56 |
56 |
$252.24 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
206 |
199 |
$77.01 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,968 |
1,825 |
$36.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,995 |
1,857 |
$36.75 |
| 36415 |
Collection of venous blood by venipuncture |
1,304 |
1,242 |
$21.71 |
| 90686 |
|
335 |
332 |
$17.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
89 |
$10.18 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90656 |
|
57 |
54 |
$0.00 |
| 3008F |
|
277 |
275 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |