| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,562 |
13,838 |
$2.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,797 |
6,636 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,748 |
1,631 |
$973.14 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
99 |
$461.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,308 |
1,250 |
$385.94 |
| 3074F |
|
199 |
178 |
$204.06 |
| 3078F |
|
135 |
125 |
$119.06 |
| 87428 |
|
320 |
297 |
$30.94 |
| 3079F |
|
26 |
26 |
$25.00 |
| 90647 |
|
106 |
106 |
$0.00 |
| 3008F |
|
7,745 |
6,629 |
$0.00 |
| 87807 |
|
44 |
36 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90686 |
|
49 |
49 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,266 |
2,020 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
130 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90656 |
|
60 |
60 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 90734 |
|
36 |
36 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
384 |
342 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
219 |
214 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
219 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
119 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 90671 |
|
113 |
113 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
270 |
270 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
786 |
747 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90710 |
|
52 |
52 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
122 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |