| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,080 |
17,868 |
$3.31M |
| 96127 |
|
16,659 |
12,072 |
$77.60 |
| 90710 |
|
21 |
12 |
$6.40 |
| 81025 |
|
1,493 |
1,225 |
$5.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,310 |
9,665 |
$3.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,072 |
954 |
$1.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
748 |
541 |
$0.00 |
| 3074F |
|
881 |
787 |
$0.00 |
| 90686 |
|
737 |
619 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,547 |
2,250 |
$0.00 |
| 3075F |
|
52 |
51 |
$0.00 |
| 1125F |
|
242 |
220 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
31 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
254 |
205 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
229 |
182 |
$0.00 |
| 99383 |
|
57 |
49 |
$0.00 |
| 3079F |
|
173 |
162 |
$0.00 |
| 1126F |
|
742 |
669 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
56 |
42 |
$0.00 |
| 3080F |
|
33 |
30 |
$0.00 |
| 99384 |
|
16 |
16 |
$0.00 |
| 90716 |
|
31 |
16 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,670 |
3,166 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
259 |
253 |
$0.00 |
| 90734 |
|
106 |
92 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
169 |
105 |
$0.00 |
| 99173 |
|
505 |
414 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
137 |
$0.00 |
| 90633 |
|
98 |
78 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
417 |
365 |
$0.00 |
| 94150 |
|
70 |
55 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
716 |
504 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
117 |
$0.00 |
| 3078F |
|
788 |
707 |
$0.00 |
| 81002 |
|
64 |
44 |
$0.00 |
| 90707 |
|
29 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
40 |
31 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |