| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,348 |
5,858 |
$865K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,708 |
1,541 |
$388.49 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,259 |
3,516 |
$216.24 |
| 36415 |
Collection of venous blood by venipuncture |
845 |
806 |
$23.31 |
| 81025 |
|
13 |
13 |
$18.90 |
| 81003 |
|
231 |
214 |
$6.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
40 |
$3.97 |
| 90686 |
|
195 |
193 |
$0.00 |
| 85027 |
|
239 |
226 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
115 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
177 |
167 |
$0.00 |
| 85018 |
|
53 |
52 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90716 |
|
31 |
31 |
$0.00 |
| 90651 |
|
34 |
34 |
$0.00 |
| 90461 |
|
236 |
234 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
466 |
459 |
$0.00 |
| 90670 |
|
110 |
108 |
$0.00 |
| 90707 |
|
30 |
30 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
232 |
228 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
168 |
160 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
563 |
527 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
109 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
58 |
$0.00 |
| 90734 |
|
23 |
23 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| 90633 |
|
19 |
19 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
71 |
$0.00 |