| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
965 |
823 |
$174K |
| 99384 |
|
191 |
168 |
$0.00 |
| 3008F |
|
284 |
276 |
$0.00 |
| 99383 |
|
230 |
207 |
$0.00 |
| 3074F |
|
352 |
320 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
39 |
38 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20 |
14 |
$0.00 |
| 99173 |
|
314 |
303 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
86 |
$0.00 |
| 3078F |
|
342 |
311 |
$0.00 |
| 3725F |
|
32 |
30 |
$0.00 |
| 90734 |
|
123 |
111 |
$0.00 |
| 90710 |
|
16 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
31 |
$0.00 |
| 90715 |
|
106 |
94 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |