| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,364 |
11,345 |
$2.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,207 |
9,184 |
$125K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
488 |
469 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,874 |
3,526 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,325 |
1,166 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
184 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
84 |
84 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
42 |
$811.17 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
277 |
274 |
$515.62 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
57 |
$309.59 |
| 81002 |
|
42 |
42 |
$271.81 |
| 0011A |
|
13 |
12 |
$258.36 |
| 90686 |
|
29 |
29 |
$15.89 |
| 90656 |
|
28 |
28 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$0.00 |
| 91301 |
|
13 |
12 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |