| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,339 |
3,149 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,370 |
6,310 |
$15K |
| 92081 |
|
1,050 |
1,048 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
119 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
123 |
$1K |
| 92552 |
|
1,051 |
1,034 |
$1K |
| 85018 |
|
782 |
767 |
$486.90 |
| 85014 |
|
457 |
449 |
$471.30 |
| 90688 |
|
262 |
260 |
$351.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
779 |
771 |
$309.63 |
| 99000 |
|
378 |
369 |
$295.77 |
| 81002 |
|
1,212 |
1,158 |
$194.71 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
92 |
67 |
$41.98 |
| 82962 |
|
91 |
82 |
$37.35 |
| 36415 |
Collection of venous blood by venipuncture |
343 |
335 |
$0.90 |
| 90658 |
|
32 |
32 |
$0.00 |
| 90756 |
|
17 |
17 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
71 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |