| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,073 |
1,876 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,047 |
1,888 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,459 |
1,375 |
$64K |
| 0012A |
|
27 |
27 |
$939.34 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$880.95 |
| 0011A |
|
25 |
25 |
$423.51 |
| 90674 |
|
20 |
20 |
$421.95 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
174 |
$362.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$105.00 |
| 99000 |
|
13 |
13 |
$90.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$45.82 |
| 3078F |
|
269 |
257 |
$0.05 |
| 3074F |
|
219 |
210 |
$0.04 |
| 91301 |
|
22 |
21 |
$0.01 |
| 3351F |
|
155 |
144 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |