| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,414 |
3,123 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,111 |
1,051 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
89 |
$5K |
| 96127 |
|
758 |
745 |
$470.24 |
| 90688 |
|
26 |
26 |
$333.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
79 |
$98.00 |
| 3079F |
|
217 |
214 |
$0.00 |
| 3074F |
|
1,088 |
1,058 |
$0.00 |
| 90686 |
|
66 |
66 |
$0.00 |
| 1159F |
|
943 |
903 |
$0.00 |
| 3078F |
|
715 |
693 |
$0.00 |
| 1160F |
|
956 |
919 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 1158F |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |