| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,811 |
4,561 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,119 |
3,013 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
546 |
526 |
$3K |
| 90686 |
|
304 |
304 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
437 |
436 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$1K |
| 90656 |
|
35 |
35 |
$481.65 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$249.54 |
| 96127 |
|
92 |
80 |
$87.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$78.39 |
| 81003 |
|
87 |
87 |
$18.70 |