| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,448 |
22,670 |
$5.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,045 |
4,861 |
$291.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,983 |
1,885 |
$52.00 |
| 90656 |
|
60 |
60 |
$22.35 |
| 81025 |
|
1,512 |
1,402 |
$4.00 |
| 99173 |
|
447 |
438 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,014 |
995 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
37 |
$0.00 |
| 90461 |
|
81 |
80 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$0.00 |
| 97802 |
|
162 |
153 |
$0.00 |
| 90686 |
|
193 |
191 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
73 |
$0.00 |
| 92551 |
|
222 |
221 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
102 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
97 |
97 |
$0.00 |
| 3008F |
|
163 |
147 |
$0.00 |