| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,471 |
2,350 |
$448K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,066 |
1,027 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
487 |
486 |
$6K |
| 99460 |
|
29 |
29 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
34 |
34 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$424.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
92 |
$141.14 |
| 90686 |
|
114 |
114 |
$0.13 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |