| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
839 |
730 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,635 |
2,362 |
$76K |
| 0012A |
|
27 |
27 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
74 |
$879.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$678.75 |
| 90658 |
|
32 |
32 |
$545.76 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
898 |
809 |
$438.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
20 |
$261.86 |
| 81025 |
|
107 |
74 |
$200.79 |
| 81002 |
|
12 |
12 |
$11.10 |
| 97802 |
|
172 |
159 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 99000 |
|
30 |
24 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 97803 |
|
178 |
167 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |