| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,135 |
5,021 |
$1.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,416 |
2,098 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
629 |
572 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
115 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
112 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
55 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
235 |
116 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
28 |
28 |
$1K |
| 97803 |
|
63 |
61 |
$508.36 |
| 90686 |
|
429 |
406 |
$329.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
884 |
826 |
$138.28 |
| 90461 |
|
18 |
13 |
$100.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
217 |
124 |
$61.79 |
| 90688 |
|
32 |
31 |
$17.20 |
| 92551 |
|
34 |
33 |
$0.00 |