| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
567 |
527 |
$84K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
126 |
122 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
221 |
$0.00 |
| 3074F |
|
172 |
165 |
$0.00 |
| 1101F |
|
188 |
181 |
$0.00 |
| 3008F |
|
442 |
416 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 1126F |
|
60 |
60 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| 1036F |
|
96 |
94 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
48 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 1125F |
|
37 |
35 |
$0.00 |
| 1090F |
|
198 |
191 |
$0.00 |
| 1159F |
|
455 |
431 |
$0.00 |
| G9920 |
Screening performed and negative |
52 |
51 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 3078F |
|
131 |
126 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |