| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,026 |
8,912 |
$3.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,444 |
3,128 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,197 |
2,051 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
306 |
305 |
$792.88 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
707 |
695 |
$478.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,759 |
1,709 |
$448.91 |
| 90651 |
|
95 |
93 |
$217.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
292 |
276 |
$179.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
709 |
656 |
$137.76 |
| 90461 |
|
198 |
197 |
$42.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
466 |
458 |
$39.36 |
| 90686 |
|
649 |
631 |
$33.65 |
| 90633 |
|
110 |
105 |
$31.95 |
| 90685 |
|
38 |
37 |
$21.81 |
| 36415 |
Collection of venous blood by venipuncture |
409 |
388 |
$3.17 |
| 90670 |
|
258 |
255 |
$0.00 |
| 90648 |
|
82 |
81 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
401 |
386 |
$0.00 |
| 90734 |
|
37 |
33 |
$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) |
290 |
266 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90656 |
|
62 |
62 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| 90698 |
|
64 |
63 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |