| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
95 |
92 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,636 |
1,493 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,457 |
1,379 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$451.68 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$270.00 |
| 90686 |
|
15 |
15 |
$205.10 |
| 99407 |
|
504 |
469 |
$102.52 |
| 3008F |
|
1,618 |
1,539 |
$82.00 |
| 3078F |
|
805 |
765 |
$72.00 |
| 3079F |
|
372 |
365 |
$40.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
68 |
$22.00 |
| 4000F |
|
831 |
729 |
$16.00 |
| 1036F |
|
2,100 |
1,969 |
$8.00 |
| 36415 |
Collection of venous blood by venipuncture |
699 |
650 |
$0.75 |
| 1034F |
|
859 |
757 |
$0.00 |
| 3075F |
|
86 |
84 |
$0.00 |
| 3074F |
|
1,022 |
986 |
$0.00 |
| 99000 |
|
65 |
58 |
$0.00 |
| 3080F |
|
37 |
35 |
$0.00 |
| 99443 |
|
16 |
15 |
$0.00 |
| 99442 |
|
28 |
26 |
$0.00 |
| 92552 |
|
13 |
12 |
$0.00 |
| 3077F |
|
30 |
27 |
$0.00 |