| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,903 |
3,172 |
$855K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,142 |
1,827 |
$215.43 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
524 |
$66.80 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
26 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$0.00 |