| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,119 |
3,558 |
$562K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
649 |
519 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
141 |
116 |
$460.02 |
| 81025 |
|
258 |
187 |
$33.22 |
| 90686 |
|
171 |
139 |
$20.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
355 |
263 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
23 |
16 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
44 |
$0.00 |
| 0502F |
|
39 |
28 |
$0.00 |
| 99173 |
|
30 |
30 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,903 |
1,363 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
14 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
95 |
$0.00 |
| 82962 |
|
38 |
30 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |