| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,455 |
11,203 |
$1.07M |
| 81002 |
|
132 |
93 |
$898.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,508 |
4,306 |
$56.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,274 |
2,829 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
116 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 90686 |
|
81 |
72 |
$0.00 |
| 96127 |
|
620 |
590 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
20 |
$0.00 |
| 3074F |
|
92 |
81 |
$0.00 |
| 1000F |
|
65 |
63 |
$0.00 |
| 90651 |
|
16 |
12 |
$0.00 |
| 90656 |
|
18 |
16 |
$0.00 |
| 3079F |
|
17 |
16 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
82 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
181 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
90 |
63 |
$0.00 |
| 3725F |
|
159 |
153 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
102 |
43 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
91 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
17 |
17 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 3078F |
|
63 |
55 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 90461 |
|
30 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
155 |
$0.00 |
| 90670 |
|
15 |
14 |
$0.00 |