| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,185 |
15,255 |
$3.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,757 |
6,280 |
$329K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,797 |
1,667 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,721 |
1,658 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,035 |
996 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,181 |
982 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
501 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
248 |
223 |
$17K |
| 99381 |
|
122 |
112 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
39 |
$1K |
| 90686 |
|
229 |
223 |
$0.00 |
| 3008F |
|
463 |
451 |
$0.00 |
| 3074F |
|
109 |
109 |
$0.00 |
| 1036F |
|
26 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
143 |
$0.00 |
| 90680 |
|
31 |
30 |
$0.00 |
| 90697 |
|
14 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
29 |
$0.00 |
| 1160F |
|
143 |
136 |
$0.00 |
| 90670 |
|
38 |
37 |
$0.00 |
| 3078F |
|
82 |
82 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
30 |
$0.00 |
| 1159F |
|
143 |
136 |
$0.00 |