| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,544 |
2,206 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,085 |
957 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
317 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
63 |
$2K |
| 0031A |
|
18 |
17 |
$720.00 |
| 90686 |
|
53 |
53 |
$681.43 |
| 0012A |
|
12 |
12 |
$480.00 |
| 0064A |
|
12 |
12 |
$480.00 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
154 |
$401.13 |
| 90688 |
|
23 |
23 |
$375.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$373.45 |
| 0011A |
|
13 |
13 |
$220.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$147.60 |
| 99001 |
|
67 |
67 |
$106.00 |
| 91303 |
|
18 |
17 |
$0.00 |