| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,717 |
7,366 |
$3.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,504 |
2,029 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,448 |
2,697 |
$4K |
| 99215 |
Prolong outpt/office vis |
822 |
677 |
$1K |
| 90674 |
|
272 |
184 |
$1K |
| 90747 |
|
15 |
13 |
$901.24 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
13 |
$416.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,330 |
922 |
$406.14 |
| 90756 |
|
214 |
168 |
$276.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
302 |
227 |
$51.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
35 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |