| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,167 |
26,320 |
$3.03M |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
128 |
113 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
15 |
$0.02 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
61 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
409 |
392 |
$0.00 |
| 90715 |
|
101 |
101 |
$0.00 |
| 90707 |
|
21 |
21 |
$0.00 |
| 81002 |
|
24 |
24 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
81 |
$0.00 |
| 81025 |
|
14 |
14 |
$0.00 |
| 90734 |
|
50 |
50 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 3078F |
|
21 |
21 |
$0.00 |
| 90670 |
|
32 |
32 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,212 |
22,655 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,561 |
3,070 |
$0.00 |
| 90651 |
|
62 |
62 |
$0.00 |
| 90686 |
|
43 |
42 |
$0.00 |
| 90619 |
|
81 |
81 |
$0.00 |
| 97802 |
|
29 |
29 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
19 |
15 |
$0.00 |
| 99383 |
|
16 |
16 |
$0.00 |
| 3074F |
|
18 |
18 |
$0.00 |
| 90716 |
|
23 |
23 |
$0.00 |
| 3353F |
|
21 |
20 |
$0.00 |