| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,840 |
3,580 |
$642K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,017 |
990 |
$15K |
| G9012 |
Other specified case management service not elsewhere classified |
24 |
24 |
$7K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
149 |
132 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,327 |
2,209 |
$4K |
| 0013A |
|
48 |
48 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$121.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
267 |
258 |
$4.21 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
413 |
413 |
$0.00 |
| 3074F |
|
1,333 |
1,287 |
$0.00 |
| 91301 |
|
95 |
91 |
$0.00 |
| 3079F |
|
674 |
654 |
$0.00 |
| 3075F |
|
312 |
308 |
$0.00 |
| 91309 |
|
13 |
13 |
$0.00 |
| 3080F |
|
99 |
94 |
$0.00 |
| 90657 |
|
73 |
73 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$0.00 |
| 90744 |
|
92 |
92 |
$0.00 |
| 96127 |
|
55 |
55 |
$0.00 |
| 92551 |
|
104 |
104 |
$0.00 |
| 3077F |
|
251 |
237 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
488 |
487 |
$0.00 |
| 3078F |
|
1,155 |
1,115 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$0.00 |
| 90714 |
|
14 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
163 |
158 |
$0.00 |
| 99173 |
|
73 |
73 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
71 |
$0.00 |
| 90713 |
|
37 |
37 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 90633 |
|
50 |
50 |
$0.00 |
| 96160 |
|
64 |
64 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |