| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,379 |
1,821 |
$224K |
| 3074F |
|
1,328 |
998 |
$50.00 |
| 3078F |
|
831 |
602 |
$35.00 |
| 3079F |
|
625 |
503 |
$25.00 |
| 3077F |
|
80 |
65 |
$5.00 |
| 3075F |
|
68 |
56 |
$5.00 |
| 3080F |
|
100 |
84 |
$5.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
184 |
$0.00 |
| 1160F |
|
1,127 |
967 |
$0.00 |
| 1158F |
|
1,428 |
1,030 |
$0.00 |
| 1159F |
|
932 |
801 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
175 |
133 |
$0.00 |
| 96160 |
|
18 |
16 |
$0.00 |
| 90715 |
|
50 |
35 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
17 |
$0.00 |
| 3008F |
|
1,351 |
957 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,724 |
1,306 |
$0.00 |
| 1126F |
|
1,196 |
843 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
81 |
63 |
$0.00 |
| 96127 |
|
113 |
85 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
90 |
68 |
$0.00 |
| 90686 |
|
168 |
128 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
151 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
103 |
88 |
$0.00 |
| 3044F |
|
47 |
46 |
$0.00 |
| 1125F |
|
67 |
62 |
$0.00 |
| 99000 |
|
114 |
87 |
$0.00 |
| 3049F |
|
34 |
14 |
$0.00 |