| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,342 |
4,050 |
$335K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,540 |
2,716 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
464 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
517 |
232 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
654 |
208 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
140 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
935 |
659 |
$3K |
| 96160 |
|
1,191 |
566 |
$1K |
| 82962 |
|
416 |
363 |
$709.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
115 |
41 |
$573.46 |
| 81002 |
|
875 |
299 |
$509.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
28 |
$455.20 |
| 82947 |
|
429 |
236 |
$372.26 |
| 81003 |
|
63 |
53 |
$55.46 |
| 3008F |
|
1,299 |
605 |
$10.00 |
| H0049 |
Alcohol and/or drug screening |
277 |
162 |
$2.11 |
| 3074F |
|
312 |
163 |
$0.04 |
| 3080F |
|
105 |
53 |
$0.01 |
| 1036F |
|
1,568 |
1,327 |
$0.01 |
| 4004F |
|
473 |
223 |
$0.00 |
| 3077F |
|
79 |
36 |
$0.00 |
| 3078F |
|
220 |
113 |
$0.00 |
| 2014F |
|
43 |
25 |
$0.00 |
| 99072 |
|
69 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,161 |
498 |
$0.00 |
| 3075F |
|
27 |
12 |
$0.00 |
| 3079F |
|
121 |
61 |
$0.00 |