| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,415 |
11,705 |
$3.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,471 |
3,059 |
$154.02 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,151 |
4,635 |
$21.75 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
771 |
743 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
416 |
409 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
476 |
443 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
16 |
$0.00 |
| 3077F |
|
53 |
47 |
$0.00 |
| 3078F |
|
137 |
129 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 3075F |
|
34 |
33 |
$0.00 |
| 3079F |
|
84 |
80 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
12 |
$0.00 |
| 3074F |
|
159 |
146 |
$0.00 |
| 3080F |
|
34 |
33 |
$0.00 |
| 96127 |
|
185 |
176 |
$0.00 |