| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
34,938 |
27,275 |
$8.01M |
| G9012 |
Other specified case management service not elsewhere classified |
3,314 |
3,269 |
$867K |
| 99499 |
|
1,542 |
1,206 |
$18K |
| 0012A |
|
317 |
314 |
$11K |
| 0011A |
|
360 |
359 |
$11K |
| 0031A |
|
96 |
96 |
$3K |
| 0064A |
|
66 |
66 |
$2K |
| 0002A |
|
28 |
28 |
$1K |
| 0124A |
|
47 |
47 |
$800.00 |
| 0001A |
|
15 |
15 |
$600.00 |
| 0004A |
|
19 |
18 |
$560.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,472 |
7,956 |
$146.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,644 |
7,053 |
$48.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
196 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
37 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,897 |
1,808 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
150 |
148 |
$0.00 |
| 96127 |
|
108 |
108 |
$0.00 |
| 90686 |
|
80 |
68 |
$0.00 |
| 82746 |
|
26 |
26 |
$0.00 |
| 82607 |
|
39 |
39 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,397 |
1,160 |
$0.00 |
| 81025 |
|
179 |
153 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
33 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,333 |
1,137 |
$0.00 |
| 82948 |
|
206 |
195 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
138 |
133 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
63 |
$0.00 |