| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,000 |
1,092 |
$196K |
| 0124A |
|
29 |
29 |
$1K |
| 90480 |
|
14 |
13 |
$213.50 |
| 90686 |
|
54 |
45 |
$102.70 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
537 |
297 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
28 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
84 |
56 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
20 |
$0.00 |
| 3008F |
|
1,114 |
645 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
805 |
439 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
148 |
84 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
234 |
164 |
$0.00 |
| 96127 |
|
372 |
174 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
133 |
66 |
$0.00 |