| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,080 |
2,514 |
$640K |
| 0124A |
|
41 |
40 |
$800.00 |
| 0001A |
|
18 |
18 |
$440.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
908 |
825 |
$140.00 |
| 82948 |
|
122 |
117 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
46 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
18 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
311 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
478 |
463 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
84 |
$0.00 |
| 96127 |
|
39 |
39 |
$0.00 |
| 90686 |
|
20 |
19 |
$0.00 |