| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,815 |
6,613 |
$1.63M |
| 3074F |
|
566 |
530 |
$25.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
360 |
342 |
$24.63 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,537 |
2,239 |
$0.01 |
| 2001F |
|
389 |
362 |
$0.00 |
| 90686 |
|
41 |
41 |
$0.00 |
| 1111F |
|
411 |
375 |
$0.00 |
| 92551 |
|
590 |
564 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
625 |
608 |
$0.00 |
| 3008F |
|
543 |
501 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
12 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 99173 |
|
585 |
563 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
26 |
$0.00 |
| 1159F |
|
950 |
880 |
$0.00 |
| 3078F |
|
556 |
520 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$0.00 |