| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,425 |
10,587 |
$660K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,737 |
4,276 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,130 |
3,759 |
$33K |
| 99215 |
Prolong outpt/office vis |
368 |
352 |
$8K |
| 90686 |
|
801 |
795 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
723 |
715 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
703 |
701 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
58 |
$2K |
| 80305 |
|
350 |
242 |
$904.10 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$629.23 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$420.37 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$406.70 |
| 96127 |
|
446 |
273 |
$277.99 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$212.20 |
| 90656 |
|
37 |
37 |
$194.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
53 |
$175.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
52 |
$151.16 |
| 81003 |
|
16 |
14 |
$2.29 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$0.00 |
| 90461 |
|
51 |
51 |
$0.00 |
| 36416 |
|
17 |
17 |
$0.00 |