| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,394 |
10,780 |
$1.73M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,994 |
5,748 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,271 |
1,244 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$410.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,117 |
1,072 |
$228.55 |
| 92551 |
|
86 |
86 |
$75.22 |
| 99173 |
|
69 |
69 |
$55.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
379 |
378 |
$39.00 |
| 3078F |
|
3,891 |
3,749 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
124 |
124 |
$0.00 |
| 3077F |
|
980 |
954 |
$0.00 |
| 3028F |
|
3,725 |
3,547 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
665 |
664 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
168 |
168 |
$0.00 |
| 99490 |
Ccm add 20min |
237 |
236 |
$0.00 |
| 3725F |
|
321 |
319 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
53 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$0.00 |
| 90734 |
|
26 |
14 |
$0.00 |
| 2001F |
|
7,947 |
7,595 |
$0.00 |
| 2000F |
|
6,991 |
6,648 |
$0.00 |
| 3075F |
|
1,545 |
1,514 |
$0.00 |
| 3079F |
|
2,472 |
2,411 |
$0.00 |
| 1111F |
|
74 |
73 |
$0.00 |
| 3074F |
|
4,295 |
4,140 |
$0.00 |
| 3044F |
|
82 |
80 |
$0.00 |
| 3008F |
|
7,678 |
7,330 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
824 |
818 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
43 |
$0.00 |
| 3035F |
|
316 |
313 |
$0.00 |
| 4010F |
|
15 |
15 |
$0.00 |
| D9994 |
|
194 |
194 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
99 |
98 |
$0.00 |
| 3080F |
|
322 |
314 |
$0.00 |
| 4000F |
|
78 |
78 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 3353F |
|
15 |
15 |
$0.00 |
| 3352F |
|
14 |
14 |
$0.00 |