| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,113 |
7,440 |
$1.22M |
| 3044F |
|
2,421 |
1,894 |
$300.00 |
| 3074F |
|
5,939 |
4,425 |
$285.00 |
| 3078F |
|
5,200 |
3,875 |
$230.00 |
| 3079F |
|
2,503 |
1,953 |
$170.00 |
| 3075F |
|
1,318 |
1,014 |
$110.00 |
| 3077F |
|
345 |
237 |
$45.00 |
| 3080F |
|
14 |
12 |
$20.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,490 |
1,165 |
$0.00 |
| 1160F |
|
3,784 |
2,683 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,203 |
915 |
$0.00 |
| 1159F |
|
6,970 |
5,062 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
828 |
604 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
175 |
158 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
207 |
177 |
$0.00 |
| 3725F |
|
254 |
218 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
52 |
$0.00 |
| 3288F |
|
18 |
15 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
51 |
$0.00 |
| 1100F |
|
18 |
15 |
$0.00 |
| 1111F |
|
743 |
631 |
$0.00 |
| 3066F |
|
550 |
456 |
$0.00 |
| 3008F |
|
8,154 |
6,008 |
$0.00 |
| 1036F |
|
603 |
487 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,727 |
1,397 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,220 |
2,448 |
$0.00 |
| 4010F |
|
1,483 |
1,126 |
$0.00 |
| 1034F |
|
357 |
304 |
$0.00 |
| 3061F |
|
233 |
187 |
$0.00 |
| 99385 |
|
26 |
26 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
281 |
165 |
$0.00 |
| 1125F |
|
15 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
68 |
$0.00 |
| 99406 |
|
18 |
15 |
$0.00 |
| 90686 |
|
67 |
54 |
$0.00 |
| 90656 |
|
15 |
13 |
$0.00 |