| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,996 |
2,718 |
$337K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,972 |
4,520 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
397 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
623 |
565 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
204 |
195 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
883 |
520 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
46 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
97 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
30 |
$917.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
40 |
$881.34 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$799.70 |
| 90461 |
|
229 |
216 |
$633.64 |
| 0011A |
|
18 |
18 |
$313.88 |
| 0012A |
|
13 |
13 |
$264.39 |
| 3074F |
|
719 |
651 |
$0.00 |
| 3008F |
|
2,900 |
2,685 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
927 |
859 |
$0.00 |
| 3079F |
|
82 |
78 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
222 |
218 |
$0.00 |
| 1126F |
|
65 |
62 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90677 |
|
29 |
28 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
978 |
884 |
$0.00 |
| 1159F |
|
275 |
265 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
633 |
595 |
$0.00 |
| 1160F |
|
247 |
229 |
$0.00 |
| 90670 |
|
122 |
119 |
$0.00 |
| 3078F |
|
413 |
379 |
$0.00 |
| 90648 |
|
29 |
29 |
$0.00 |