| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,665 |
13,067 |
$5.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,045 |
3,298 |
$9K |
| 90747 |
|
117 |
75 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,770 |
2,879 |
$6K |
| 99215 |
Prolong outpt/office vis |
1,972 |
1,579 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
223 |
190 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
12 |
$625.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,412 |
1,753 |
$497.50 |
| 90674 |
|
176 |
154 |
$267.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,083 |
1,063 |
$170.30 |
| 90756 |
|
336 |
242 |
$158.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
558 |
445 |
$84.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
132 |
$51.30 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
212 |
160 |
$32.15 |
| 90685 |
|
30 |
17 |
$0.12 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
90 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,899 |
1,899 |
$0.00 |
| 90715 |
|
55 |
55 |
$0.00 |
| 91321 |
|
15 |
15 |
$0.00 |
| 90686 |
|
1,143 |
1,142 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |