| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,134 |
21,667 |
$2.18M |
| 99199 |
Unlisted special service, procedure or report |
76,254 |
50,255 |
$433K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,928 |
3,076 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,443 |
2,675 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
778 |
668 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,259 |
1,011 |
$2K |
| 81003 |
|
583 |
537 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$952.32 |
| 96127 |
|
784 |
674 |
$809.97 |
| 92551 |
|
459 |
392 |
$645.17 |
| 99173 |
|
303 |
271 |
$428.23 |
| 80050 |
General health panel |
15 |
14 |
$135.52 |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$96.66 |
| 90656 |
|
16 |
16 |
$59.63 |
| 90686 |
|
290 |
243 |
$39.16 |
| 99000 |
|
3,792 |
3,131 |
$0.00 |
| 99499 |
|
111 |
91 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$0.00 |