| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,598 |
29,491 |
$2.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,657 |
8,159 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,562 |
12,474 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,997 |
932 |
$2K |
| 90686 |
|
59 |
59 |
$77.22 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
222 |
167 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
662 |
599 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
632 |
513 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
220 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
256 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
65 |
$0.00 |
| 90734 |
|
16 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
139 |
116 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
35 |
17 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
13 |
$0.00 |
| 90670 |
|
44 |
25 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
72 |
70 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
97 |
94 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
39 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |