| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,196 |
2,978 |
$474K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
529 |
524 |
$25.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
714 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,306 |
1,261 |
$0.00 |
| 3074F |
|
286 |
278 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
224 |
222 |
$0.00 |
| 3079F |
|
68 |
67 |
$0.00 |
| 4293F |
|
71 |
71 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
145 |
142 |
$0.00 |
| 3075F |
|
30 |
30 |
$0.00 |
| 1036F |
|
21 |
21 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 1160F |
|
465 |
453 |
$0.00 |
| 3016F |
|
87 |
87 |
$0.00 |
| 1159F |
|
447 |
435 |
$0.00 |
| 3078F |
|
262 |
256 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
77 |
77 |
$0.00 |
| 4004F |
|
34 |
34 |
$0.00 |
| 80305 |
|
48 |
43 |
$0.00 |