| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,773 |
4,815 |
$856K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,991 |
1,763 |
$1K |
| 0012A |
|
44 |
44 |
$1K |
| 0011A |
|
45 |
45 |
$1K |
| 3074F |
|
347 |
333 |
$265.00 |
| 3078F |
|
303 |
297 |
$150.00 |
| 3079F |
|
43 |
38 |
$50.00 |
| 92551 |
|
78 |
76 |
$0.00 |
| 1111F |
|
53 |
45 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
27 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
25 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
82 |
28 |
$0.00 |
| 90657 |
|
16 |
16 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| 99173 |
|
60 |
59 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
299 |
112 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$0.00 |
| 96160 |
|
14 |
13 |
$0.00 |