| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,549 |
1,304 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
876 |
759 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$56.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
429 |
391 |
$40.81 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$0.00 |