| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,071 |
1,466 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
727 |
534 |
$30.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
360 |
308 |
$0.00 |
| 96160 |
|
120 |
110 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
20 |
13 |
$0.00 |
| 99173 |
|
388 |
316 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
43 |
$0.00 |
| 90672 |
|
161 |
144 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
98 |
30 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
260 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
32 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
17 |
$0.00 |
| 99188 |
|
190 |
152 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
45 |
33 |
$0.00 |
| 97803 |
|
15 |
13 |
$0.00 |
| 3008F |
|
191 |
174 |
$0.00 |
| 99383 |
|
27 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
224 |
177 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
78 |
$0.00 |
| 96127 |
|
1,004 |
769 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
270 |
244 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
104 |
84 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 92551 |
|
303 |
254 |
$0.00 |
| 85018 |
|
104 |
82 |
$0.00 |
| 90686 |
|
55 |
51 |
$0.00 |