| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,134 |
2,251 |
$468K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,396 |
2,585 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
415 |
406 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
288 |
$7K |
| 80305 |
|
2,467 |
1,766 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| 87428 |
|
39 |
37 |
$915.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
109 |
$860.37 |
| 96127 |
|
33 |
32 |
$135.16 |
| 36415 |
Collection of venous blood by venipuncture |
206 |
202 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
41 |
41 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
121 |
120 |
$0.00 |