| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,944 |
16,274 |
$2.81M |
| 99051 |
|
1,246 |
1,030 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,064 |
15,379 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,481 |
1,373 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,126 |
803 |
$362.20 |
| 36415 |
Collection of venous blood by venipuncture |
2,654 |
1,763 |
$36.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
485 |
304 |
$29.40 |
| 85018 |
|
1,027 |
454 |
$23.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
258 |
128 |
$18.26 |
| 81002 |
|
224 |
76 |
$15.24 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
156 |
130 |
$0.00 |
| 3077F |
|
705 |
552 |
$0.00 |
| 1160F |
|
541 |
458 |
$0.00 |
| 3078F |
|
2,330 |
1,879 |
$0.00 |
| 81003 |
|
706 |
321 |
$0.00 |
| 1159F |
|
544 |
458 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
46 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
29 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
160 |
97 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
103 |
42 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
104 |
$0.00 |
| 90734 |
|
17 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
19 |
12 |
$0.00 |
| 99173 |
|
32 |
21 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
25 |
$0.00 |
| 90461 |
|
76 |
40 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 36416 |
|
863 |
378 |
$0.00 |
| 3008F |
|
4,423 |
3,424 |
$0.00 |
| 1035F |
|
376 |
312 |
$0.00 |
| 1034F |
|
1,063 |
827 |
$0.00 |
| 1036F |
|
2,490 |
1,897 |
$0.00 |
| 3079F |
|
1,345 |
1,054 |
$0.00 |
| 99024 |
|
547 |
386 |
$0.00 |
| 3080F |
|
379 |
292 |
$0.00 |
| 3075F |
|
543 |
449 |
$0.00 |
| 1125F |
|
574 |
439 |
$0.00 |
| 3074F |
|
2,945 |
2,302 |
$0.00 |
| 1126F |
|
1,651 |
1,323 |
$0.00 |
| 90686 |
|
44 |
12 |
$0.00 |
| 00000 |
|
208 |
100 |
$0.00 |
| 93000 |
|
26 |
25 |
$0.00 |