| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,250 |
4,054 |
$817K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
214 |
$13.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$9.14 |
| 2000F |
|
2,948 |
2,813 |
$0.00 |
| 3079F |
|
1,007 |
986 |
$0.00 |
| 3044F |
|
30 |
28 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
193 |
193 |
$0.00 |
| 3074F |
|
1,888 |
1,827 |
$0.00 |
| 3075F |
|
469 |
462 |
$0.00 |
| 2001F |
|
3,611 |
3,466 |
$0.00 |
| 3008F |
|
2,926 |
2,838 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,377 |
1,342 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,443 |
1,398 |
$0.00 |
| 3035F |
|
273 |
270 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
104 |
$0.00 |
| 3080F |
|
68 |
68 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 3077F |
|
152 |
152 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
315 |
311 |
$0.00 |
| 3725F |
|
582 |
576 |
$0.00 |
| 3028F |
|
2,477 |
2,361 |
$0.00 |
| 3078F |
|
1,579 |
1,541 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
71 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |