| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,620 |
2,444 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,656 |
1,582 |
$5K |
| 99215 |
Prolong outpt/office vis |
80 |
77 |
$665.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
51 |
$292.20 |
| 3078F |
|
1,419 |
1,353 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
92 |
91 |
$0.00 |
| 3074F |
|
1,608 |
1,532 |
$0.00 |
| 3008F |
|
257 |
252 |
$0.00 |
| 3079F |
|
182 |
176 |
$0.00 |
| 1111F |
|
55 |
55 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |