| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,851 |
4,413 |
$624K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,858 |
1,799 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,013 |
954 |
$11K |
| 99051 |
|
238 |
232 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
75 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
235 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
262 |
262 |
$868.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
55 |
$218.56 |
| 90688 |
|
17 |
17 |
$187.00 |
| 96160 |
|
46 |
41 |
$37.52 |
| 3008F |
|
1,753 |
1,689 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
310 |
308 |
$0.00 |
| 92551 |
|
862 |
860 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
57 |
52 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
77 |
$0.00 |
| 99173 |
|
803 |
801 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
54 |
53 |
$0.00 |
| G9920 |
Screening performed and negative |
133 |
133 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90661 |
|
28 |
28 |
$0.00 |