| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,697 |
31,829 |
$10.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,274 |
9,633 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,482 |
12,949 |
$11K |
| 90651 |
|
12 |
12 |
$2K |
| 0064A |
|
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 99215 |
Prolong outpt/office vis |
1,601 |
1,521 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,737 |
1,619 |
$1K |
| 90656 |
|
34 |
34 |
$776.93 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$607.74 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
194 |
$513.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$290.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$151.64 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,451 |
1,769 |
$132.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
129 |
$0.00 |
| 98940 |
|
358 |
271 |
$0.00 |
| 98942 |
|
216 |
160 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |