| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,261 |
5,192 |
$920K |
| 0001A |
|
129 |
123 |
$5K |
| 0002A |
|
122 |
119 |
$5K |
| 0072A |
|
70 |
70 |
$3K |
| 0071A |
|
54 |
54 |
$2K |
| 0004A |
|
52 |
52 |
$2K |
| 0124A |
|
12 |
12 |
$501.60 |
| 80305 |
|
1,982 |
843 |
$44.90 |
| 81002 |
|
1,722 |
1,077 |
$10.40 |
| 81025 |
|
1,907 |
1,118 |
$7.74 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,920 |
4,007 |
$0.00 |
| 3008F |
|
323 |
228 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,392 |
821 |
$0.00 |
| 96127 |
|
2,066 |
1,005 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$0.00 |
| A9150 |
Non-prescription drugs |
26 |
25 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,151 |
765 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
1,577 |
568 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
573 |
341 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
114 |
74 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
993 |
332 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
15 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$0.00 |