| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,084 |
5,412 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,979 |
1,856 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,020 |
1,877 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
101 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$1K |
| 90686 |
|
46 |
44 |
$538.15 |
| 87428 |
|
28 |
27 |
$235.07 |
| 99406 |
|
65 |
64 |
$155.35 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
12 |
$97.10 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
39 |
$92.83 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$89.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$82.14 |
| 99000 |
|
14 |
14 |
$61.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
47 |
$23.13 |
| 81002 |
|
14 |
12 |
$2.88 |
| 1034F |
|
1,328 |
1,189 |
$0.00 |
| 3075F |
|
587 |
572 |
$0.00 |
| 1220F |
|
236 |
234 |
$0.00 |
| 3017F |
|
186 |
171 |
$0.00 |
| 2010F |
|
4,403 |
4,025 |
$0.00 |
| 3079F |
|
1,301 |
1,231 |
$0.00 |
| 3044F |
|
170 |
152 |
$0.00 |
| 2000F |
|
4,513 |
4,112 |
$0.00 |
| 3074F |
|
3,275 |
3,026 |
$0.00 |
| 1036F |
|
1,557 |
1,440 |
$0.00 |
| 3049F |
|
222 |
201 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
16 |
16 |
$0.00 |
| 3048F |
|
478 |
439 |
$0.00 |
| 3080F |
|
113 |
108 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 1159F |
|
3,849 |
3,520 |
$0.00 |
| 3078F |
|
2,679 |
2,505 |
$0.00 |
| 1033F |
|
444 |
425 |
$0.00 |
| 3077F |
|
125 |
121 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
50 |
47 |
$0.00 |
| 3050F |
|
167 |
152 |
$0.00 |
| 1032F |
|
70 |
64 |
$0.00 |