| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,858 |
5,780 |
$941K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,708 |
4,152 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,341 |
1,174 |
$10K |
| 98926 |
|
1,877 |
1,573 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
67 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
149 |
$994.58 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
57 |
54 |
$781.10 |
| 99215 |
Prolong outpt/office vis |
49 |
43 |
$728.50 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$621.67 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
310 |
273 |
$529.70 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$352.90 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
29 |
$265.43 |
| 90658 |
|
31 |
31 |
$247.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
58 |
58 |
$17.98 |