| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,683 |
3,180 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,589 |
1,336 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,080 |
559 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
141 |
88 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
13 |
$733.96 |
| 99442 |
|
62 |
26 |
$683.59 |
| 90686 |
|
35 |
13 |
$264.92 |
| 96160 |
|
131 |
98 |
$31.85 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
358 |
218 |
$0.00 |
| 1036F |
|
2,015 |
1,217 |
$0.00 |
| 1034F |
|
895 |
541 |
$0.00 |
| 1000F |
|
1,764 |
948 |
$0.00 |
| 3074F |
|
284 |
184 |
$0.00 |
| 4004F |
|
640 |
372 |
$0.00 |
| 3078F |
|
87 |
59 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
12 |
$0.00 |