| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,383 |
2,230 |
$348K |
| 3725F |
|
381 |
367 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
21 |
$0.00 |
| 99173 |
|
24 |
23 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$0.00 |
| 3008F |
|
1,805 |
1,703 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
994 |
939 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
642 |
624 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
370 |
356 |
$0.00 |
| 92551 |
|
22 |
22 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |