| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,561 |
8,173 |
$2.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,044 |
3,851 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,790 |
1,630 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
94 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,150 |
1,315 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
619 |
436 |
$1K |
| 90739 |
|
15 |
12 |
$668.70 |
| 99383 |
|
19 |
14 |
$495.83 |
| 90686 |
|
178 |
132 |
$337.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
135 |
117 |
$254.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
107 |
70 |
$204.96 |
| 90656 |
|
39 |
30 |
$199.00 |
| 85018 |
|
631 |
450 |
$149.92 |
| 90715 |
|
34 |
25 |
$79.36 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
12 |
$54.83 |
| 81002 |
|
187 |
159 |
$34.89 |
| 3078F |
|
25 |
25 |
$0.00 |
| 1160F |
|
35 |
35 |
$0.00 |
| 90461 |
|
42 |
37 |
$0.00 |
| 99173 |
|
59 |
58 |
$0.00 |
| 1159F |
|
35 |
35 |
$0.00 |
| 4274F |
|
14 |
12 |
$0.00 |
| 90633 |
|
16 |
12 |
$0.00 |
| 2001F |
|
50 |
48 |
$0.00 |
| 82962 |
|
539 |
339 |
$0.00 |
| 3074F |
|
30 |
30 |
$0.00 |
| 2010F |
|
51 |
49 |
$0.00 |
| 92551 |
|
216 |
156 |
$0.00 |
| 1036F |
|
66 |
66 |
$0.00 |
| 90688 |
|
19 |
18 |
$0.00 |
| 36416 |
|
143 |
102 |
$0.00 |
| 3008F |
|
85 |
82 |
$0.00 |