| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,051 |
32,143 |
$8.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,930 |
17,755 |
$750K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,216 |
1,114 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,643 |
2,432 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,617 |
3,373 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,698 |
2,517 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,694 |
1,577 |
$50K |
| 90832 |
Psychotherapy, 30 minutes with patient |
251 |
235 |
$33K |
| 99381 |
|
254 |
233 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
193 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
101 |
75 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
36 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
73 |
$3K |
| 99382 |
|
15 |
15 |
$1K |
| 99383 |
|
14 |
13 |
$805.30 |
| 90670 |
|
25 |
24 |
$216.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
382 |
374 |
$78.40 |
| 90686 |
|
620 |
578 |
$36.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
276 |
233 |
$23.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
158 |
80 |
$7.84 |
| 90697 |
|
56 |
54 |
$1.50 |
| 3078F |
|
335 |
333 |
$0.00 |
| 1159F |
|
247 |
246 |
$0.00 |
| 1160F |
|
247 |
246 |
$0.00 |
| 3074F |
|
365 |
363 |
$0.00 |
| 3008F |
|
812 |
805 |
$0.00 |
| 1036F |
|
240 |
235 |
$0.00 |
| 90371 |
|
69 |
69 |
$0.00 |
| 90651 |
|
19 |
13 |
$0.00 |