| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,726 |
4,841 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,562 |
1,395 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
407 |
402 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,019 |
946 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,299 |
2,043 |
$1K |
| 90686 |
|
254 |
253 |
$712.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$157.04 |
| 90656 |
|
19 |
19 |
$106.74 |
| 1036F |
|
1,226 |
1,080 |
$42.94 |
| 1160F |
|
1,632 |
1,433 |
$10.62 |
| 3074F |
|
536 |
488 |
$9.96 |
| 3008F |
|
609 |
559 |
$8.12 |
| 3725F |
|
133 |
131 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$0.00 |
| 3078F |
|
26 |
25 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| 3079F |
|
43 |
40 |
$0.00 |
| 96127 |
|
75 |
48 |
$0.00 |