| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,237 |
1,196 |
$270K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
334 |
$154.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
92 |
$65.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
598 |
588 |
$59.86 |
| 3078F |
|
415 |
408 |
$0.00 |
| 3028F |
|
881 |
852 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
173 |
170 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3725F |
|
277 |
271 |
$0.00 |
| 3079F |
|
421 |
413 |
$0.00 |
| 3074F |
|
638 |
615 |
$0.00 |
| 2001F |
|
1,210 |
1,172 |
$0.00 |
| 3008F |
|
1,104 |
1,071 |
$0.00 |
| 2000F |
|
899 |
867 |
$0.00 |
| 3075F |
|
141 |
139 |
$0.00 |
| 3035F |
|
85 |
84 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$0.00 |