| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
593 |
564 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
262 |
$85.25 |
| 3074F |
|
133 |
125 |
$0.00 |
| 3008F |
|
422 |
409 |
$0.00 |
| 1125F |
|
31 |
29 |
$0.00 |
| 1126F |
|
90 |
89 |
$0.00 |
| 1034F |
|
20 |
19 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
45 |
$0.00 |
| 3079F |
|
31 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58 |
57 |
$0.00 |
| 1101F |
|
160 |
154 |
$0.00 |
| 1036F |
|
19 |
19 |
$0.00 |
| 92551 |
|
36 |
36 |
$0.00 |
| 1159F |
|
434 |
417 |
$0.00 |
| 3078F |
|
100 |
96 |
$0.00 |
| 1090F |
|
161 |
154 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 99173 |
|
35 |
35 |
$0.00 |
| G9920 |
Screening performed and negative |
37 |
36 |
$0.00 |