| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,179 |
1,658 |
$307K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
137 |
102 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
50 |
$0.00 |
| 80061 |
Lipid panel |
15 |
13 |
$0.00 |
| 90461 |
|
59 |
29 |
$0.00 |
| 99173 |
|
20 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
33 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
39 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
19 |
$0.00 |
| 90686 |
|
333 |
224 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
241 |
156 |
$0.00 |
| 85018 |
|
392 |
242 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,533 |
836 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
103 |
51 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
16 |
$0.00 |