| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,321 |
11,474 |
$1.85M |
| 0012A |
|
172 |
170 |
$6K |
| 0011A |
|
178 |
177 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,647 |
3,402 |
$738.03 |
| 90686 |
|
548 |
530 |
$570.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
721 |
671 |
$538.29 |
| 0064A |
|
15 |
15 |
$160.00 |
| 96127 |
|
598 |
587 |
$12.76 |
| 3074F |
|
4,980 |
4,669 |
$10.00 |
| 3078F |
|
4,255 |
3,972 |
$10.00 |
| 3008F |
|
8,898 |
8,263 |
$0.00 |
| 1034F |
|
483 |
446 |
$0.00 |
| 1036F |
|
922 |
840 |
$0.00 |
| 1000F |
|
1,751 |
1,617 |
$0.00 |
| 1157F |
|
201 |
196 |
$0.00 |
| 1031F |
|
418 |
395 |
$0.00 |
| 4000F |
|
57 |
53 |
$0.00 |
| 91301 |
|
446 |
425 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
110 |
$0.00 |
| 97802 |
|
237 |
200 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
24 |
$0.00 |
| 3079F |
|
99 |
94 |
$0.00 |
| 3351F |
|
44 |
44 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
69 |
$0.00 |
| 92551 |
|
15 |
13 |
$0.00 |
| 99406 |
|
15 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$0.00 |
| 86580 |
|
19 |
15 |
$0.00 |
| 96160 |
|
1,671 |
1,552 |
$0.00 |
| 1159F |
|
9,695 |
8,971 |
$0.00 |
| 99080 |
|
412 |
258 |
$0.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
272 |
258 |
$0.00 |
| G9920 |
Screening performed and negative |
601 |
553 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
377 |
368 |
$0.00 |
| 1100F |
|
48 |
48 |
$0.00 |
| 1160F |
|
43 |
40 |
$0.00 |
| 3288F |
|
63 |
63 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$0.00 |
| 4019F |
|
47 |
46 |
$0.00 |
| 99499 |
|
14 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 99173 |
|
30 |
26 |
$0.00 |