| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,143 |
979 |
$184K |
| 0011A |
|
87 |
81 |
$4K |
| 0002A |
|
50 |
49 |
$2K |
| 0001A |
|
44 |
44 |
$2K |
| 0071A |
|
42 |
42 |
$2K |
| 0004A |
|
36 |
36 |
$2K |
| 0072A |
|
32 |
32 |
$1K |
| 0012A |
|
33 |
33 |
$1K |
| 0124A |
|
17 |
17 |
$710.60 |
| 90686 |
|
99 |
71 |
$558.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,036 |
504 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
895 |
429 |
$0.00 |
| 3008F |
|
929 |
467 |
$0.00 |
| 96127 |
|
1,483 |
599 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
112 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
18 |
$0.00 |
| 99173 |
|
51 |
37 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
94 |
47 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
37 |
17 |
$0.00 |