| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,629 |
1,266 |
$229K |
| 90686 |
|
96 |
82 |
$481.50 |
| 90832 |
Psychotherapy, 30 minutes with patient |
214 |
77 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
17 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
88 |
55 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
53 |
23 |
$0.00 |
| 96127 |
|
426 |
155 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,049 |
584 |
$0.00 |
| 3008F |
|
253 |
161 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
97 |
40 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
154 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
13 |
$0.00 |