| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
295 |
233 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
222 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
213 |
$11K |
| 91322 |
|
14 |
14 |
$2K |
| 90656 |
|
15 |
15 |
$312.90 |
| 90480 |
|
14 |
14 |
$199.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$188.89 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$91.52 |