| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,242 |
3,717 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,813 |
2,454 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,082 |
917 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
112 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
22 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
626 |
560 |
$421.01 |
| 3008F |
|
689 |
607 |
$225.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$222.22 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
96 |
70 |
$44.09 |
| 1111F |
|
110 |
84 |
$35.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
741 |
665 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$0.00 |