| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
827 |
652 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
65 |
$107.25 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
612 |
499 |
$79.71 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
14 |
$3.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
80 |
$0.00 |
| 87807 |
|
16 |
15 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
127 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
121 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |