| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,753 |
17,638 |
$8.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,952 |
5,174 |
$25K |
| 90747 |
|
551 |
339 |
$20K |
| 90734 |
|
581 |
387 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,973 |
4,798 |
$14K |
| 99215 |
Prolong outpt/office vis |
4,056 |
3,073 |
$10K |
| 91200 |
|
368 |
96 |
$4K |
| 90674 |
|
1,307 |
965 |
$3K |
| 90670 |
|
151 |
115 |
$3K |
| 87536 |
|
95 |
57 |
$2K |
| 90732 |
|
319 |
228 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,173 |
1,609 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
713 |
397 |
$1K |
| 90630 |
|
627 |
416 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,559 |
2,499 |
$1K |
| 90632 |
|
47 |
28 |
$557.93 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
291 |
238 |
$529.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
645 |
473 |
$340.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
438 |
318 |
$200.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
52 |
$87.10 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
25 |
$69.65 |
| 86360 |
|
23 |
12 |
$43.65 |
| 90688 |
|
37 |
35 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |