| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,604 |
2,657 |
$501K |
| 0002A |
|
189 |
189 |
$8K |
| 0004A |
|
179 |
162 |
$8K |
| 0001A |
|
178 |
175 |
$8K |
| 0064A |
|
146 |
127 |
$6K |
| 0011A |
|
164 |
158 |
$6K |
| 0124A |
|
132 |
127 |
$6K |
| 0012A |
|
133 |
129 |
$5K |
| 0072A |
|
111 |
111 |
$5K |
| 0071A |
|
107 |
107 |
$5K |
| 90686 |
|
374 |
308 |
$2K |
| 0013A |
|
16 |
16 |
$674.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
534 |
370 |
$16.08 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,827 |
962 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
53 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
109 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
411 |
275 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
132 |
74 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
67 |
26 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
348 |
140 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
205 |
113 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,143 |
818 |
$0.00 |
| 96127 |
|
2,020 |
696 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
905 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
783 |
431 |
$0.00 |
| 3008F |
|
2,836 |
1,522 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
897 |
418 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
34 |
13 |
$0.00 |
| 3061F |
|
45 |
12 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
83 |
82 |
$0.00 |
| 36416 |
|
256 |
63 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
83 |
$0.00 |
| 82962 |
|
68 |
15 |
$0.00 |