| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,142 |
5,544 |
$1.99M |
| G9012 |
Other specified case management service not elsewhere classified |
514 |
510 |
$136K |
| 3078F |
|
402 |
392 |
$2K |
| 3074F |
|
316 |
308 |
$1K |
| 3077F |
|
155 |
146 |
$1K |
| 3079F |
|
120 |
119 |
$860.00 |
| 3080F |
|
46 |
44 |
$250.00 |
| 3075F |
|
57 |
55 |
$240.00 |
| 3044F |
|
12 |
12 |
$60.00 |
| 80305 |
|
32 |
27 |
$0.00 |
| 99173 |
|
328 |
321 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
139 |
$0.00 |
| 3725F |
|
583 |
573 |
$0.00 |
| 96160 |
|
1,225 |
1,062 |
$0.00 |
| 1160F |
|
2,171 |
2,029 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
57 |
$0.00 |
| 1159F |
|
2,184 |
2,041 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
113 |
102 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$0.00 |
| 90713 |
|
29 |
29 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
27 |
$0.00 |
| 3008F |
|
455 |
419 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,771 |
1,674 |
$0.00 |
| 92551 |
|
318 |
311 |
$0.00 |
| 90688 |
|
234 |
218 |
$0.00 |
| 96127 |
|
1,052 |
895 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,184 |
1,140 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
520 |
509 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
72 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |