| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,602 |
5,185 |
$504K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,984 |
2,898 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,528 |
762 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
623 |
340 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,474 |
745 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,101 |
629 |
$17K |
| 90651 |
|
38 |
25 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
49 |
$2K |
| 90734 |
|
78 |
43 |
$799.16 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
16 |
$778.71 |
| 90686 |
|
284 |
149 |
$675.41 |
| 96160 |
|
742 |
415 |
$552.85 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
12 |
$430.18 |
| 3078F |
|
3,213 |
1,886 |
$0.06 |
| 3074F |
|
2,782 |
2,025 |
$0.05 |
| 3008F |
|
1,804 |
965 |
$0.00 |
| 3079F |
|
127 |
74 |
$0.00 |
| 90698 |
|
24 |
12 |
$0.00 |
| 90688 |
|
15 |
12 |
$0.00 |
| 90619 |
|
67 |
37 |
$0.00 |
| 90670 |
|
18 |
12 |
$0.00 |
| 90658 |
|
18 |
15 |
$0.00 |