| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,007 |
921 |
$21K |
| T1015 |
Clinic visit/encounter, all-inclusive |
40 |
31 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
221 |
217 |
$5K |
| 90686 |
|
118 |
112 |
$905.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$769.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$173.74 |
| 99441 |
|
14 |
14 |
$129.01 |
| 81025 |
|
15 |
12 |
$38.36 |
| 81002 |
|
16 |
12 |
$7.40 |
| 3074F |
|
14 |
12 |
$0.00 |
| 3078F |
|
14 |
12 |
$0.00 |