| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,505 |
6,409 |
$593K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,810 |
2,413 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
874 |
765 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
180 |
$221.58 |
| 90686 |
|
41 |
37 |
$23.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$4.46 |
| 97803 |
|
28 |
28 |
$0.00 |
| G9920 |
Screening performed and negative |
68 |
66 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
236 |
202 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 85018 |
|
15 |
15 |
$0.00 |