| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,304 |
20,675 |
$748K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,334 |
8,734 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,195 |
12,090 |
$362K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
576 |
471 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
68 |
$979.18 |
| 90686 |
|
127 |
71 |
$803.94 |
| 99215 |
Prolong outpt/office vis |
21 |
15 |
$773.55 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20 |
13 |
$663.90 |
| 0012A |
|
21 |
13 |
$479.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
25 |
$410.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
38 |
$373.54 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
109 |
79 |
$306.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
129 |
$161.82 |
| 99441 |
|
29 |
13 |
$146.16 |
| 36415 |
Collection of venous blood by venipuncture |
258 |
227 |
$49.50 |
| 3008F |
|
3,012 |
2,270 |
$0.00 |
| 1125F |
|
284 |
242 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
74 |
$0.00 |
| 1036F |
|
1,506 |
1,099 |
$0.00 |
| 1034F |
|
127 |
93 |
$0.00 |
| 1126F |
|
737 |
600 |
$0.00 |
| 3074F |
|
71 |
47 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
46 |
45 |
$0.00 |
| 91301 |
|
58 |
42 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$0.00 |
| 81003 |
|
87 |
70 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
58 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
70 |
37 |
$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) |
111 |
53 |
$0.00 |