| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,102 |
3,424 |
$531K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
679 |
385 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
381 |
229 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
379 |
231 |
$0.00 |
| 99173 |
|
30 |
30 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
104 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
323 |
235 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90670 |
|
39 |
13 |
$0.00 |
| 96127 |
|
2,893 |
1,563 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,052 |
645 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
77 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,052 |
596 |
$0.00 |
| 90656 |
|
65 |
43 |
$0.00 |