| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
216 |
207 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$30.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
90 |
$0.00 |
| 90686 |
|
41 |
41 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |