| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,587 |
5,748 |
$393K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,130 |
2,001 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,671 |
2,462 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
895 |
854 |
$102.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
150 |
$68.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
377 |
369 |
$41.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
261 |
257 |
$21.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
36 |
$16.24 |
| 99406 |
|
14 |
14 |
$12.00 |
| 81002 |
|
131 |
127 |
$8.64 |
| 3079F |
|
258 |
248 |
$0.00 |
| 1034F |
|
436 |
398 |
$0.00 |
| 3074F |
|
1,906 |
1,788 |
$0.00 |
| 2000F |
|
89 |
83 |
$0.00 |
| 1036F |
|
816 |
767 |
$0.00 |
| 2010F |
|
85 |
80 |
$0.00 |
| 90686 |
|
75 |
74 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3078F |
|
1,595 |
1,498 |
$0.00 |
| 1159F |
|
111 |
103 |
$0.00 |
| 3725F |
|
348 |
337 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
83 |
80 |
$0.00 |
| 1160F |
|
18 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$0.00 |