| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,851 |
7,066 |
$1.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,798 |
2,640 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,839 |
2,584 |
$143K |
| 90686 |
|
183 |
181 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
54 |
$296.11 |
| 90688 |
|
18 |
18 |
$274.72 |
| 81003 |
|
49 |
48 |
$103.05 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$69.47 |