| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,403 |
7,254 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,329 |
3,757 |
$163.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,317 |
2,100 |
$66.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$0.00 |
| 90686 |
|
28 |
27 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
98 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90688 |
|
40 |
40 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
20 |
12 |
$0.00 |