| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,205 |
10,755 |
$1.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,635 |
5,974 |
$9K |
| 3074F |
|
998 |
902 |
$2K |
| 3079F |
|
685 |
637 |
$1K |
| 3078F |
|
542 |
501 |
$803.39 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,171 |
2,052 |
$596.06 |
| 3075F |
|
225 |
221 |
$355.02 |
| 3077F |
|
143 |
133 |
$305.00 |
| 3080F |
|
130 |
124 |
$270.00 |
| 3044F |
|
215 |
193 |
$186.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,206 |
1,164 |
$186.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
77 |
$54.25 |
| 3008F |
|
6,037 |
5,359 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
77 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,818 |
1,709 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |
| 90686 |
|
25 |
25 |
$0.00 |
| 87428 |
|
174 |
170 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
47 |
45 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
27 |
$0.00 |