| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,813 |
15,522 |
$1.93M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17 |
17 |
$935.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$577.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
301 |
301 |
$166.80 |
| 3075F |
|
2,132 |
2,050 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
375 |
371 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,412 |
1,376 |
$0.00 |
| 3074F |
|
5,859 |
5,386 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 3079F |
|
3,027 |
2,886 |
$0.00 |
| 92551 |
|
565 |
565 |
$0.00 |
| 99406 |
|
58 |
56 |
$0.00 |
| 90733 |
|
25 |
25 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 3078F |
|
6,195 |
5,689 |
$0.00 |
| 99173 |
|
575 |
575 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
82 |
$0.00 |
| 90461 |
|
66 |
66 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
89 |
$0.00 |
| 81002 |
|
54 |
52 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
31 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$0.00 |