| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,441 |
6,143 |
$908K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,096 |
4,447 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
298 |
253 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
647 |
499 |
$658.10 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
31 |
$479.77 |
| 99000 |
|
1,864 |
1,449 |
$380.64 |
| 97803 |
|
889 |
613 |
$276.10 |
| 92081 |
|
985 |
841 |
$230.65 |
| 3008F |
|
7,690 |
4,952 |
$115.00 |
| 92552 |
|
971 |
821 |
$50.99 |
| 81002 |
|
357 |
283 |
$14.62 |
| 97802 |
|
661 |
537 |
$10.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
37 |
$10.00 |
| 81025 |
|
34 |
29 |
$5.60 |
| 1157F |
|
596 |
507 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,078 |
884 |
$0.00 |
| 1220F |
|
611 |
520 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
342 |
239 |
$0.00 |
| 85018 |
|
138 |
108 |
$0.00 |
| 3080F |
|
17 |
12 |
$0.00 |
| 1159F |
|
617 |
525 |
$0.00 |
| 1160F |
|
617 |
525 |
$0.00 |
| 3077F |
|
34 |
26 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$0.00 |
| 90710 |
|
19 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
14 |
$0.00 |