| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
63,535 |
43,635 |
$9.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,484 |
4,444 |
$19K |
| 0001A |
|
573 |
380 |
$14K |
| 0002A |
|
128 |
99 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
80 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$2K |
| 0011A |
|
65 |
49 |
$1K |
| 92557 |
|
111 |
111 |
$970.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
66 |
$866.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
413 |
328 |
$816.74 |
| 92081 |
|
124 |
124 |
$809.88 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
31 |
$737.97 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
30 |
$211.12 |
| 91300 |
|
84 |
81 |
$163.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
108 |
$154.82 |
| 90688 |
|
32 |
32 |
$139.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$85.32 |
| 90649 |
|
12 |
12 |
$18.00 |
| 36415 |
Collection of venous blood by venipuncture |
134 |
130 |
$18.00 |
| 1159F |
|
107 |
90 |
$0.00 |
| 3078F |
|
83 |
83 |
$0.00 |
| 1160F |
|
53 |
46 |
$0.00 |
| 3725F |
|
18 |
18 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| 3074F |
|
81 |
81 |
$0.00 |
| 3008F |
|
102 |
102 |
$0.00 |
| 99000 |
|
29 |
29 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
61 |
$0.00 |
| 1036F |
|
33 |
30 |
$0.00 |