| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,942 |
2,695 |
$562K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
578 |
557 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
847 |
803 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
228 |
$302.22 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
58 |
$262.00 |
| 99173 |
|
239 |
237 |
$181.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
590 |
588 |
$166.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
113 |
$125.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
419 |
418 |
$91.40 |
| 92551 |
|
249 |
248 |
$71.24 |
| 3078F |
|
103 |
102 |
$0.00 |
| 92552 |
|
22 |
22 |
$0.00 |
| 90670 |
|
36 |
36 |
$0.00 |
| 3008F |
|
717 |
673 |
$0.00 |
| 3074F |
|
124 |
122 |
$0.00 |
| 90686 |
|
34 |
34 |
$0.00 |