| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,470 |
10,186 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,150 |
5,256 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
225 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
163 |
$713.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,870 |
3,508 |
$492.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
804 |
795 |
$431.31 |
| 90686 |
|
324 |
319 |
$134.60 |
| 99173 |
|
222 |
219 |
$64.79 |
| 36415 |
Collection of venous blood by venipuncture |
1,387 |
1,322 |
$22.51 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 99177 |
|
37 |
36 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
266 |
239 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 3008F |
|
220 |
215 |
$0.00 |
| 90656 |
|
32 |
32 |
$0.00 |