| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,348 |
18,917 |
$4.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,294 |
8,079 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,383 |
10,377 |
$161K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
339 |
280 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,245 |
988 |
$14K |
| 90746 |
|
180 |
159 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
426 |
297 |
$6K |
| 99215 |
Prolong outpt/office vis |
156 |
153 |
$5K |
| 90686 |
|
182 |
161 |
$3K |
| 90682 |
|
67 |
67 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
824 |
731 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
164 |
124 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
413 |
315 |
$2K |
| 96156 |
|
166 |
165 |
$2K |
| 93000 |
|
82 |
67 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
375 |
313 |
$1K |
| 90715 |
|
31 |
27 |
$1K |
| 99385 |
|
19 |
12 |
$883.14 |
| 0011A |
|
13 |
13 |
$871.00 |
| 0012A |
|
12 |
12 |
$804.00 |
| 99386 |
|
38 |
24 |
$682.16 |
| 90656 |
|
74 |
61 |
$428.96 |
| 81003 |
|
366 |
290 |
$402.63 |
| 90832 |
Psychotherapy, 30 minutes with patient |
557 |
350 |
$309.78 |
| 0001A |
|
30 |
30 |
$201.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
21 |
14 |
$114.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
31 |
$111.30 |
| 81025 |
|
64 |
51 |
$81.20 |
| 85018 |
|
71 |
68 |
$26.57 |
| 3078F |
|
719 |
651 |
$0.01 |
| 3074F |
|
698 |
632 |
$0.01 |
| 3077F |
|
68 |
66 |
$0.00 |
| 92552 |
|
16 |
16 |
$0.00 |
| 91300 |
|
45 |
45 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
16 |
$0.00 |
| 3075F |
|
232 |
221 |
$0.00 |
| 3079F |
|
300 |
281 |
$0.00 |
| 3351F |
|
265 |
262 |
$0.00 |
| 1111F |
|
725 |
659 |
$0.00 |
| 3044F |
|
43 |
40 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
20 |
$0.00 |
| 90688 |
|
64 |
64 |
$0.00 |
| 3080F |
|
17 |
16 |
$0.00 |