| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,779 |
6,042 |
$728K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,408 |
2,235 |
$35.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
232 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
114 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
424 |
398 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
58 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
189 |
188 |
$0.00 |
| 90633 |
|
176 |
176 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
349 |
348 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
19 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 90461 |
|
26 |
26 |
$0.00 |
| 90688 |
|
124 |
124 |
$0.00 |
| 90698 |
|
36 |
36 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$0.00 |