| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
560 |
485 |
$103K |
| 99173 |
|
69 |
69 |
$0.00 |
| 90461 |
|
27 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
58 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 92551 |
|
55 |
55 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
194 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
138 |
$0.00 |
| 3008F |
|
45 |
45 |
$0.00 |
| 96161 |
|
13 |
13 |
$0.00 |