| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,120 |
3,259 |
$662K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,777 |
1,493 |
$10K |
| 96127 |
|
117 |
110 |
$6K |
| 99406 |
|
50 |
50 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
147 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
39 |
$913.45 |
| 90686 |
|
35 |
21 |
$271.96 |
| 81025 |
|
13 |
12 |
$47.67 |
| 80305 |
|
196 |
133 |
$27.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
53 |
$24.00 |
| 3074F |
|
201 |
187 |
$0.00 |
| 1036F |
|
18 |
16 |
$0.00 |
| 3008F |
|
372 |
341 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 1160F |
|
411 |
375 |
$0.00 |
| 1159F |
|
410 |
374 |
$0.00 |
| 3078F |
|
128 |
120 |
$0.00 |
| 3725F |
|
30 |
29 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
15 |
$0.00 |