| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,385 |
6,280 |
$853K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,143 |
1,965 |
$231.84 |
| 90686 |
|
454 |
446 |
$162.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
247 |
$18.00 |
| 3008F |
|
3,093 |
2,768 |
$18.00 |
| 99173 |
|
287 |
286 |
$0.00 |
| 99080 |
|
392 |
391 |
$0.00 |
| 90715 |
|
31 |
31 |
$0.00 |
| 90633 |
|
46 |
46 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
40 |
$0.00 |
| 99201 |
|
14 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
19 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$0.00 |
| 81002 |
|
25 |
25 |
$0.00 |
| 96151 |
|
239 |
239 |
$0.00 |
| 97802 |
|
520 |
517 |
$0.00 |
| 85018 |
|
221 |
220 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
52 |
44 |
$0.00 |
| 92551 |
|
287 |
286 |
$0.00 |
| G9658 |
A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used |
27 |
26 |
$0.00 |
| 96150 |
|
117 |
117 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 87110 |
|
18 |
18 |
$0.00 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
27 |
27 |
$0.00 |