| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,222 |
7,432 |
$1.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,888 |
4,235 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
256 |
210 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
228 |
173 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,676 |
1,210 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
79 |
$361.73 |
| 92551 |
|
286 |
206 |
$297.18 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
54 |
$205.00 |
| 90686 |
|
1,065 |
782 |
$190.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,071 |
830 |
$84.88 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
14 |
$79.87 |
| 90716 |
|
38 |
31 |
$27.00 |
| 90633 |
|
34 |
25 |
$18.00 |
| 90744 |
|
27 |
24 |
$18.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$16.36 |
| 90688 |
|
40 |
40 |
$9.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
292 |
243 |
$0.00 |
| 90734 |
|
29 |
21 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
38 |
$0.00 |
| 99173 |
|
235 |
179 |
$0.00 |
| 90715 |
|
27 |
19 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
19 |
12 |
$0.00 |
| S5199 |
Personal care item, nos, each |
19 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
12 |
$0.00 |
| 90651 |
|
76 |
58 |
$0.00 |
| 99402 |
|
16 |
14 |
$0.00 |