| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,864 |
17,117 |
$3.10M |
| 96127 |
|
10,470 |
7,135 |
$19.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
633 |
474 |
$12.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,753 |
5,166 |
$4.00 |
| 99215 |
Prolong outpt/office vis |
1,062 |
789 |
$2.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
582 |
459 |
$2.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,264 |
6,657 |
$2.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,404 |
1,119 |
$1.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
75 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
24 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,580 |
1,360 |
$0.00 |
| 0502F |
|
106 |
72 |
$0.00 |
| 99173 |
|
83 |
72 |
$0.00 |
| 3078F |
|
321 |
315 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
344 |
330 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
24 |
$0.00 |
| 81002 |
|
29 |
28 |
$0.00 |
| 99201 |
|
72 |
72 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 3077F |
|
97 |
96 |
$0.00 |
| 3080F |
|
167 |
163 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,376 |
1,300 |
$0.00 |
| 1126F |
|
682 |
661 |
$0.00 |
| 3079F |
|
254 |
247 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
140 |
119 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
78 |
77 |
$0.00 |
| 3075F |
|
42 |
41 |
$0.00 |
| 3074F |
|
523 |
509 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
23 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 1125F |
|
51 |
49 |
$0.00 |
| 90686 |
|
50 |
46 |
$0.00 |