| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,043 |
31,948 |
$5.00M |
| 0012A |
|
44 |
30 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,441 |
10,716 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,339 |
6,657 |
$658.76 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,174 |
1,170 |
$408.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
579 |
579 |
$59.90 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
256 |
252 |
$34.30 |
| 81025 |
|
733 |
696 |
$22.37 |
| 81003 |
|
1,168 |
1,053 |
$8.98 |
| 90647 |
|
958 |
958 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,081 |
3,070 |
$0.00 |
| 90723 |
|
948 |
947 |
$0.00 |
| 92551 |
|
961 |
961 |
$0.00 |
| 90651 |
|
107 |
107 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
394 |
388 |
$0.00 |
| Z1034 |
|
950 |
585 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,371 |
1,290 |
$0.00 |
| 1220F |
|
27 |
26 |
$0.00 |
| 99000 |
|
371 |
357 |
$0.00 |
| 90716 |
|
236 |
236 |
$0.00 |
| 85018 |
|
741 |
739 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90744 |
|
33 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
203 |
$0.00 |
| 99383 |
|
82 |
82 |
$0.00 |
| 90696 |
|
34 |
34 |
$0.00 |
| 99381 |
|
240 |
240 |
$0.00 |
| 90686 |
|
652 |
651 |
$0.00 |
| 99384 |
|
27 |
27 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
30 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
25 |
25 |
$0.00 |
| 99406 |
|
24 |
24 |
$0.00 |
| Z1032 |
|
15 |
15 |
$0.00 |
| 90713 |
|
124 |
124 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,363 |
1,339 |
$0.00 |
| 90473 |
|
422 |
422 |
$0.00 |
| 96160 |
|
3,642 |
3,617 |
$0.00 |
| 81002 |
|
136 |
124 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
92 |
92 |
$0.00 |
| 90681 |
|
413 |
413 |
$0.00 |
| 90707 |
|
235 |
235 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
411 |
411 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,283 |
2,282 |
$0.00 |
| 99173 |
|
1,460 |
1,457 |
$0.00 |
| 90734 |
|
72 |
72 |
$0.00 |
| 92552 |
|
252 |
252 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
538 |
536 |
$0.00 |
| 90633 |
|
662 |
662 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.00 |
| 90670 |
|
1,317 |
1,317 |
$0.00 |
| 90700 |
|
323 |
322 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,086 |
1,086 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
63 |
$0.00 |
| 83655 |
|
322 |
321 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
59 |
$0.00 |
| 90715 |
|
57 |
57 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
108 |
108 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
70 |
70 |
$0.00 |
| 99382 |
|
103 |
103 |
$0.00 |
| 90710 |
|
70 |
70 |
$0.00 |
| 99201 |
|
26 |
26 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
13 |
13 |
$0.00 |