| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,072 |
998 |
$193K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$11.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
748 |
712 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 3079F |
|
16 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
47 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |