| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,650 |
14,100 |
$3.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,659 |
6,144 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,528 |
1,326 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,969 |
3,100 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,500 |
1,350 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
720 |
619 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
865 |
765 |
$5K |
| 92551 |
|
84 |
78 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$1K |
| 90656 |
|
16 |
16 |
$357.60 |
| 90686 |
|
27 |
25 |
$222.65 |
| 94760 |
|
554 |
509 |
$179.07 |
| 99381 |
|
14 |
12 |
$138.67 |
| 99173 |
|
74 |
68 |
$116.59 |
| 36415 |
Collection of venous blood by venipuncture |
483 |
228 |
$17.25 |
| 3008F |
|
1,011 |
925 |
$0.00 |
| 97802 |
|
48 |
37 |
$0.00 |
| 0011A |
|
17 |
12 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
84 |
$0.00 |