| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,577 |
12,317 |
$3.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,722 |
2,535 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,867 |
2,659 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,268 |
1,247 |
$7.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,446 |
2,380 |
$6.19 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
511 |
496 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
480 |
479 |
$0.00 |
| 90648 |
|
227 |
223 |
$0.00 |
| 90670 |
|
224 |
221 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
219 |
217 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 90474 |
|
81 |
79 |
$0.00 |
| 96127 |
|
808 |
794 |
$0.00 |
| 90686 |
|
558 |
537 |
$0.00 |
| 90656 |
|
60 |
60 |
$0.00 |
| 90723 |
|
63 |
63 |
$0.00 |
| 90680 |
|
81 |
79 |
$0.00 |