| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,385 |
1,188 |
$268K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
138 |
$125.10 |
| 90461 |
|
51 |
51 |
$21.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
321 |
300 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
550 |
504 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
37 |
$0.00 |