| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,189 |
6,022 |
$1.20M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
190 |
179 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
92 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,408 |
2,194 |
$302.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,299 |
2,880 |
$131.04 |
| 90686 |
|
329 |
294 |
$17.50 |
| 99173 |
|
54 |
53 |
$8.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
160 |
$5.09 |
| 36415 |
Collection of venous blood by venipuncture |
776 |
749 |
$3.17 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$0.00 |
| 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) |
257 |
237 |
$0.00 |
| 90656 |
|
44 |
43 |
$0.00 |
| 3008F |
|
97 |
96 |
$0.00 |