| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,307 |
2,023 |
$590K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
193 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
78 |
$488.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
744 |
682 |
$84.67 |
| 90686 |
|
18 |
18 |
$19.37 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$4.60 |
| 3078F |
|
844 |
779 |
$0.00 |
| 1159F |
|
688 |
609 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
438 |
398 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 2001F |
|
1,372 |
1,223 |
$0.00 |
| 3074F |
|
1,059 |
973 |
$0.00 |
| 1111F |
|
259 |
228 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
458 |
419 |
$0.00 |
| 3079F |
|
33 |
32 |
$0.00 |
| 87428 |
|
16 |
15 |
$0.00 |