| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,562 |
5,309 |
$543K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,906 |
2,122 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,087 |
1,813 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
302 |
135 |
$6K |
| 0012A |
|
279 |
140 |
$5K |
| 99454 |
|
241 |
123 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
720 |
327 |
$4K |
| 0011A |
|
127 |
107 |
$3K |
| 99442 |
|
118 |
98 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
86 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
696 |
446 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
41 |
$2K |
| 0064A |
|
99 |
50 |
$2K |
| 99441 |
|
499 |
195 |
$2K |
| 96160 |
|
1,378 |
663 |
$2K |
| 99457 |
|
27 |
15 |
$438.19 |
| 82962 |
|
226 |
206 |
$430.81 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
13 |
$258.90 |
| 82947 |
|
165 |
77 |
$191.56 |
| 99201 |
|
21 |
14 |
$143.90 |
| 81025 |
|
30 |
12 |
$77.71 |
| 3074F |
|
24 |
13 |
$30.00 |
| 99072 |
|
537 |
299 |
$11.90 |
| 91301 |
|
447 |
260 |
$2.45 |
| 91306 |
|
100 |
50 |
$0.36 |
| 1036F |
|
557 |
507 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
484 |
193 |
$0.00 |
| 3008F |
|
474 |
200 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
80 |
45 |
$0.00 |
| 4004F |
|
664 |
310 |
$0.00 |
| 98966 |
|
63 |
41 |
$0.00 |