| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,367 |
8,181 |
$3.77M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,506 |
1,990 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,605 |
3,416 |
$6K |
| 90674 |
|
866 |
659 |
$2K |
| 99215 |
Prolong outpt/office vis |
633 |
528 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,421 |
1,711 |
$403.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
162 |
137 |
$227.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
205 |
$170.43 |
| 90630 |
|
143 |
118 |
$133.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
616 |
436 |
$127.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
164 |
$26.93 |
| 90685 |
|
165 |
88 |
$6.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$0.00 |
| 90686 |
|
72 |
72 |
$0.00 |