| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,049 |
9,859 |
$2.48M |
| 58662 |
|
1,131 |
327 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,544 |
5,236 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,051 |
859 |
$63.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
456 |
349 |
$37.11 |
| 81002 |
|
83 |
24 |
$2.54 |
| 85018 |
|
658 |
411 |
$2.37 |
| 36416 |
|
596 |
390 |
$0.01 |
| 81003 |
|
101 |
67 |
$0.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
629 |
529 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,198 |
907 |
$0.00 |
| 90677 |
|
132 |
104 |
$0.00 |
| 3008F |
|
990 |
804 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,253 |
990 |
$0.00 |
| 1034F |
|
135 |
109 |
$0.00 |
| 3074F |
|
569 |
458 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
453 |
327 |
$0.00 |
| 3079F |
|
204 |
168 |
$0.00 |
| 90961 |
|
505 |
287 |
$0.00 |
| 93000 |
|
549 |
380 |
$0.00 |
| 1036F |
|
394 |
317 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 99024 |
|
42 |
28 |
$0.00 |
| 90697 |
|
151 |
130 |
$0.00 |
| 1126F |
|
68 |
52 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| 3075F |
|
63 |
54 |
$0.00 |
| 90686 |
|
41 |
12 |
$0.00 |
| 90962 |
|
21 |
15 |
$0.00 |
| 49322 |
|
280 |
71 |
$0.00 |
| 3078F |
|
407 |
337 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
450 |
414 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
432 |
348 |
$0.00 |
| 90461 |
|
464 |
309 |
$0.00 |
| 3077F |
|
51 |
44 |
$0.00 |
| 1159F |
|
73 |
65 |
$0.00 |
| 90670 |
|
301 |
276 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
82 |
$0.00 |
| 1160F |
|
73 |
65 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
149 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
480 |
358 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
44 |
$0.00 |
| 58120 |
|
226 |
68 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27 |
14 |
$0.00 |
| 90681 |
|
31 |
26 |
$0.00 |
| 83015 |
|
17 |
12 |
$0.00 |
| 83655 |
|
41 |
33 |
$0.00 |
| 90633 |
|
45 |
37 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$0.00 |