| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,003 |
10,882 |
$3.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,484 |
6,941 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,465 |
2,330 |
$22K |
| 3074F |
|
2,622 |
2,432 |
$9K |
| 3078F |
|
2,511 |
2,339 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,246 |
1,216 |
$5K |
| 3079F |
|
1,113 |
1,030 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
417 |
389 |
$3K |
| 90686 |
|
652 |
559 |
$3K |
| 3075F |
|
511 |
487 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$665.66 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
245 |
235 |
$625.40 |
| G0008 |
Administration of influenza virus vaccine |
689 |
662 |
$592.31 |
| 90715 |
|
31 |
26 |
$570.45 |
| 3077F |
|
113 |
102 |
$473.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
67 |
$405.59 |
| 3061F |
|
556 |
511 |
$90.00 |
| 3044F |
|
78 |
76 |
$10.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
177 |
168 |
$0.00 |
| 3050F |
|
423 |
393 |
$0.00 |
| 0124A |
|
19 |
18 |
$0.00 |
| 4040F |
|
897 |
808 |
$0.00 |
| G9920 |
Screening performed and negative |
118 |
115 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
54 |
$0.00 |
| 90662 |
|
16 |
12 |
$0.00 |
| 3048F |
|
1,591 |
1,476 |
$0.00 |
| 3049F |
|
659 |
622 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
12 |
$0.00 |
| 1101F |
|
345 |
306 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
56 |
55 |
$0.00 |
| 90656 |
|
96 |
96 |
$0.00 |
| 90694 |
|
14 |
13 |
$0.00 |