| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,600 |
5,106 |
$1.04M |
| 99499 |
|
120 |
114 |
$3K |
| 0011A |
|
24 |
24 |
$840.00 |
| 3078F |
|
896 |
727 |
$800.00 |
| 3074F |
|
909 |
739 |
$650.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,538 |
1,427 |
$489.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
698 |
654 |
$423.41 |
| 3079F |
|
164 |
153 |
$320.00 |
| 3725F |
|
303 |
261 |
$180.00 |
| 3075F |
|
45 |
42 |
$50.00 |
| 82947 |
|
63 |
57 |
$2.76 |
| 96127 |
|
108 |
104 |
$0.68 |
| 3008F |
|
1,492 |
1,214 |
$0.00 |
| 1036F |
|
627 |
528 |
$0.00 |
| 90686 |
|
133 |
133 |
$0.00 |
| 1126F |
|
34 |
33 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
25 |
$0.00 |
| 1159F |
|
926 |
709 |
$0.00 |
| 1160F |
|
934 |
717 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
202 |
200 |
$0.00 |
| 90461 |
|
38 |
38 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$0.00 |