| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,913 |
10,820 |
$2.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,172 |
1,975 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,419 |
3,020 |
$547.92 |
| 3074F |
|
292 |
265 |
$400.00 |
| 3079F |
|
100 |
98 |
$220.00 |
| 3078F |
|
177 |
163 |
$160.00 |
| 0011A |
|
51 |
51 |
$17.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
231 |
$0.00 |
| 91301 |
|
48 |
48 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
116 |
99 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
80 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
108 |
106 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
16 |
12 |
$0.00 |
| 3061F |
|
15 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| 0012A |
|
18 |
18 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
264 |
264 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
80 |
76 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
77 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
40 |
$0.00 |
| 90461 |
|
129 |
129 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
369 |
356 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$0.00 |
| 98940 |
|
70 |
38 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |