| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,589 |
5,106 |
$866K |
| 0001A |
|
21 |
20 |
$884.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,537 |
2,780 |
$805.78 |
| 0002A |
|
19 |
15 |
$800.66 |
| 0071A |
|
16 |
15 |
$674.24 |
| 0072A |
|
13 |
12 |
$547.82 |
| 0011A |
|
20 |
20 |
$338.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
232 |
$68.65 |
| 90658 |
|
96 |
65 |
$54.52 |
| 92551 |
|
436 |
334 |
$17.00 |
| 99173 |
|
454 |
347 |
$15.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
81 |
$7.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
65 |
$0.00 |
| 90649 |
|
28 |
15 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
480 |
287 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
67 |
59 |
$0.00 |
| 81025 |
|
227 |
196 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
237 |
117 |
$0.00 |
| 90715 |
|
33 |
18 |
$0.00 |
| 90734 |
|
32 |
19 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
103 |
$0.00 |
| 3074F |
|
16 |
15 |
$0.00 |
| 3008F |
|
35 |
27 |
$0.00 |
| 85018 |
|
27 |
19 |
$0.00 |