| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,583 |
4,100 |
$686K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
551 |
513 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,327 |
1,195 |
$1K |
| 96127 |
|
58 |
56 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
151 |
149 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
80 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
32 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
24 |
$0.00 |