| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,972 |
1,694 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,072 |
946 |
$352.77 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
406 |
$321.75 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
107 |
$3.33 |
| 90686 |
|
87 |
85 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
107 |
102 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |