| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,140 |
4,756 |
$1.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,281 |
1,222 |
$175.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,245 |
1,166 |
$125.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
156 |
156 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
678 |
676 |
$0.00 |
| 99173 |
|
406 |
405 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
226 |
220 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 83655 |
|
27 |
27 |
$0.00 |
| 3008F |
|
1,433 |
1,391 |
$0.00 |
| 85018 |
|
26 |
26 |
$0.00 |
| 92551 |
|
192 |
191 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
102 |
102 |
$0.00 |
| 90677 |
|
41 |
41 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90686 |
|
78 |
77 |
$0.00 |
| 1111F |
|
15 |
14 |
$0.00 |