| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,268 |
2,653 |
$1.74M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
578 |
467 |
$363.58 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
428 |
384 |
$219.22 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
75 |
65 |
$131.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
33 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
39 |
$0.00 |