| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,911 |
9,608 |
$614K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,850 |
2,730 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,333 |
4,053 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,060 |
1,054 |
$491.56 |
| 36415 |
Collection of venous blood by venipuncture |
2,308 |
2,197 |
$485.34 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$382.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
149 |
$235.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$202.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$202.00 |
| 90686 |
|
244 |
244 |
$109.38 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
57 |
$69.14 |
| 90656 |
|
12 |
12 |
$67.05 |
| 96160 |
|
37 |
37 |
$30.00 |
| 1036F |
|
3,074 |
2,845 |
$0.00 |
| 2010F |
|
120 |
118 |
$0.00 |
| 3079F |
|
1,832 |
1,756 |
$0.00 |
| 3074F |
|
4,760 |
4,420 |
$0.00 |
| 1034F |
|
1,657 |
1,541 |
$0.00 |
| 3080F |
|
135 |
128 |
$0.00 |
| 3075F |
|
285 |
278 |
$0.00 |
| 1220F |
|
66 |
66 |
$0.00 |
| 2000F |
|
118 |
116 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 3078F |
|
3,589 |
3,358 |
$0.00 |
| 3077F |
|
256 |
250 |
$0.00 |
| 3725F |
|
1,485 |
1,461 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
108 |
108 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
105 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
59 |
56 |
$0.00 |
| 1033F |
|
14 |
14 |
$0.00 |
| 1159F |
|
140 |
138 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
17 |
$0.00 |