| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,275 |
4,570 |
$1.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,401 |
2,177 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
584 |
541 |
$4K |
| 90461 |
|
214 |
202 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172 |
152 |
$339.58 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
26 |
25 |
$0.05 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
43 |
$0.00 |
| 90686 |
|
54 |
54 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
64 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
79 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |