| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
13,028 |
11,184 |
$3.09M |
| 3074F |
|
2,214 |
2,072 |
$1K |
| 3078F |
|
1,730 |
1,613 |
$770.00 |
| 3079F |
|
400 |
389 |
$510.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,114 |
2,853 |
$159.45 |
| 3075F |
|
55 |
55 |
$80.00 |
| 3077F |
|
13 |
12 |
$50.00 |
| 3725F |
|
644 |
628 |
$10.00 |
| 96127 |
|
965 |
857 |
$4.00 |
| 96160 |
|
868 |
811 |
$3.48 |
| 1160F |
|
4,208 |
3,874 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
870 |
806 |
$0.00 |
| 1159F |
|
3,858 |
3,565 |
$0.00 |
| 99173 |
|
196 |
195 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
87 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 92551 |
|
137 |
135 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
360 |
355 |
$0.00 |
| 3008F |
|
3,224 |
3,008 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
361 |
347 |
$0.00 |
| 90686 |
|
138 |
127 |
$0.00 |
| 90688 |
|
55 |
55 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
122 |
120 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
127 |
$0.00 |