| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,284 |
9,045 |
$563K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,318 |
4,002 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,806 |
3,510 |
$23K |
| 90686 |
|
341 |
341 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
631 |
630 |
$969.02 |
| 36415 |
Collection of venous blood by venipuncture |
698 |
675 |
$415.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
36 |
$274.20 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$257.56 |
| 90656 |
|
31 |
31 |
$153.10 |
| 87428 |
|
33 |
32 |
$135.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
32 |
$129.04 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$90.89 |
| 96127 |
|
267 |
211 |
$84.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
77 |
77 |
$16.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
27 |
$13.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
43 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 36416 |
|
193 |
191 |
$0.00 |