| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
14,104 |
11,375 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,285 |
7,696 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
131 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,417 |
1,402 |
$801.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,090 |
1,858 |
$578.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
404 |
402 |
$381.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$329.18 |
| 85018 |
|
22 |
12 |
$281.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
166 |
$267.54 |
| 90686 |
|
433 |
430 |
$84.80 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
414 |
374 |
$62.35 |
| 36415 |
Collection of venous blood by venipuncture |
173 |
163 |
$3.33 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
73 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 3008F |
|
90 |
90 |
$0.00 |
| 90656 |
|
17 |
16 |
$0.00 |