| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,619 |
8,120 |
$993K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
410 |
408 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,311 |
4,696 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,927 |
1,776 |
$836.82 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
91 |
$788.20 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
65 |
$633.12 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$624.26 |
| 90461 |
|
12 |
12 |
$210.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$156.60 |
| 36415 |
Collection of venous blood by venipuncture |
1,141 |
1,092 |
$41.53 |
| 90686 |
|
342 |
337 |
$33.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
270 |
270 |
$25.71 |
| 99173 |
|
13 |
13 |
$16.72 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
30 |
28 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$0.00 |
| 99177 |
|
16 |
16 |
$0.00 |
| 3008F |
|
236 |
233 |
$0.00 |
| 90656 |
|
55 |
54 |
$0.00 |