| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,582 |
6,155 |
$1.37M |
| 90670 |
|
105 |
103 |
$540.00 |
| 90681 |
|
14 |
12 |
$220.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
354 |
$175.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,393 |
2,312 |
$125.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
570 |
556 |
$75.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
557 |
556 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
571 |
571 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
407 |
400 |
$0.00 |
| 99173 |
|
677 |
677 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
210 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
227 |
221 |
$0.00 |
| 90697 |
|
32 |
32 |
$0.00 |
| 3008F |
|
785 |
770 |
$0.00 |
| 90686 |
|
66 |
66 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90619 |
|
31 |
31 |
$0.00 |