| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,844 |
1,487 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,743 |
2,191 |
$132K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,678 |
3,818 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
766 |
583 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
191 |
150 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
44 |
25 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
317 |
231 |
$957.85 |
| 87428 |
|
16 |
12 |
$355.25 |
| 85018 |
|
15 |
13 |
$30.12 |
| 3008F |
|
36 |
35 |
$0.00 |
| 90686 |
|
248 |
194 |
$0.00 |
| 3074F |
|
37 |
36 |
$0.00 |
| 1036F |
|
19 |
18 |
$0.00 |
| 3078F |
|
23 |
23 |
$0.00 |