| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,271 |
4,024 |
$617K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
776 |
653 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
279 |
252 |
$1K |
| 90633 |
|
32 |
32 |
$52.00 |
| 81025 |
|
414 |
326 |
$17.90 |
| 90686 |
|
241 |
205 |
$11.00 |
| 36415 |
Collection of venous blood by venipuncture |
324 |
274 |
$8.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,764 |
1,389 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
585 |
439 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
83 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
18 |
$0.00 |
| 99173 |
|
26 |
24 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$0.00 |
| 0502F |
|
207 |
140 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
86 |
$0.00 |
| 90649 |
|
27 |
27 |
$0.00 |