| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,317 |
6,957 |
$666K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,071 |
5,157 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,841 |
1,476 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
425 |
303 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
677 |
353 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
115 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
997 |
647 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
124 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
38 |
13 |
$1K |
| 99386 |
|
21 |
12 |
$905.89 |
| 36416 |
|
997 |
647 |
$848.85 |
| 90686 |
|
224 |
105 |
$826.84 |
| 82962 |
|
745 |
507 |
$680.60 |
| 96127 |
|
354 |
224 |
$429.36 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
13 |
$425.35 |
| 99385 |
|
27 |
12 |
$368.40 |
| 81002 |
|
125 |
69 |
$87.34 |
| 81025 |
|
23 |
12 |
$72.85 |
| 3078F |
|
33 |
12 |
$0.05 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
182 |
91 |
$0.00 |
| 1036F |
|
542 |
255 |
$0.00 |
| 3044F |
|
20 |
15 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,051 |
593 |
$0.00 |
| 4000F |
|
386 |
310 |
$0.00 |
| 4004F |
|
919 |
497 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
838 |
449 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
443 |
228 |
$0.00 |
| 99071 |
|
1,047 |
533 |
$0.00 |
| 80305 |
|
16 |
13 |
$0.00 |