| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,427 |
4,279 |
$859K |
| 91322 |
|
19 |
19 |
$480.00 |
| 3079F |
|
161 |
159 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
243 |
243 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,621 |
2,547 |
$0.00 |
| 3074F |
|
949 |
924 |
$0.00 |
| 90744 |
|
29 |
29 |
$0.00 |
| 92551 |
|
458 |
457 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$0.00 |
| 96127 |
|
240 |
240 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
54 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90480 |
|
61 |
61 |
$0.00 |
| 90650 |
|
39 |
39 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
209 |
209 |
$0.00 |
| 96160 |
|
266 |
266 |
$0.00 |
| 3078F |
|
835 |
817 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
220 |
$0.00 |
| 83655 |
|
97 |
97 |
$0.00 |
| 99173 |
|
626 |
625 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$0.00 |
| 90713 |
|
31 |
31 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
120 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
220 |
220 |
$0.00 |
| 90715 |
|
20 |
20 |
$0.00 |
| 90633 |
|
19 |
19 |
$0.00 |