| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,894 |
10,151 |
$4.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,554 |
3,455 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,778 |
3,003 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,688 |
1,858 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
803 |
610 |
$1K |
| 90734 |
|
58 |
31 |
$1K |
| 90674 |
|
228 |
152 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,163 |
829 |
$929.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
693 |
504 |
$444.90 |
| 99215 |
Prolong outpt/office vis |
472 |
385 |
$394.30 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
114 |
$260.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
79 |
$128.56 |
| 90756 |
|
188 |
153 |
$79.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
45 |
$39.24 |
| 90670 |
|
57 |
42 |
$6.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
12 |
$0.00 |
| 90715 |
|
29 |
13 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |