| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,336 |
4,247 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,474 |
1,310 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,327 |
1,993 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
138 |
$620.56 |
| 96127 |
|
137 |
131 |
$292.71 |
| 3074F |
|
565 |
529 |
$80.00 |
| 3078F |
|
638 |
601 |
$80.00 |
| 90686 |
|
155 |
138 |
$74.51 |
| 3075F |
|
193 |
177 |
$60.00 |
| 3079F |
|
212 |
201 |
$60.00 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
82 |
$16.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
322 |
296 |
$5.25 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
75 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
52 |
$0.00 |
| 90734 |
|
30 |
28 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |