| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
6,934 |
2,588 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
646 |
$35K |
| 90734 |
|
79 |
70 |
$15K |
| 99215 |
Prolong outpt/office vis |
208 |
196 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
73 |
$2K |
| 90686 |
|
89 |
77 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
58 |
$636.09 |
| G0008 |
Administration of influenza virus vaccine |
139 |
127 |
$408.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$205.78 |