| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,628 |
12,745 |
$732K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,156 |
4,677 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,804 |
5,224 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
213 |
211 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,267 |
1,238 |
$2K |
| 80305 |
|
1,084 |
693 |
$1K |
| 90688 |
|
187 |
181 |
$734.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
147 |
$707.03 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
300 |
294 |
$547.04 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$484.39 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
52 |
$370.10 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$246.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
250 |
228 |
$188.62 |
| 90632 |
|
26 |
26 |
$175.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
48 |
$73.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$68.45 |
| 90746 |
|
12 |
12 |
$65.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$27.42 |
| 81025 |
|
12 |
12 |
$14.26 |
| 81002 |
|
12 |
12 |
$8.64 |
| 3008F |
|
384 |
373 |
$0.00 |
| 3074F |
|
367 |
350 |
$0.00 |
| 3075F |
|
32 |
31 |
$0.00 |
| 94760 |
|
292 |
275 |
$0.00 |
| 2010F |
|
392 |
381 |
$0.00 |
| 3079F |
|
88 |
87 |
$0.00 |
| 2001F |
|
389 |
378 |
$0.00 |
| 1220F |
|
905 |
899 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
105 |
105 |
$0.00 |
| 1034F |
|
116 |
111 |
$0.00 |
| 90686 |
|
97 |
90 |
$0.00 |
| 1000F |
|
119 |
118 |
$0.00 |
| 1159F |
|
90 |
89 |
$0.00 |
| 99173 |
|
594 |
594 |
$0.00 |
| 3078F |
|
330 |
317 |
$0.00 |
| 1160F |
|
301 |
292 |
$0.00 |
| G9920 |
Screening performed and negative |
58 |
58 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |