| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,935 |
29,602 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,402 |
15,402 |
$485K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,901 |
8,055 |
$356K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,324 |
2,229 |
$57K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
472 |
470 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
626 |
618 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
187 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,220 |
1,203 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
156 |
156 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
179 |
$8K |
| 90688 |
|
546 |
544 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
512 |
493 |
$4K |
| 96127 |
|
5,683 |
5,393 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
47 |
28 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
899 |
889 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
30 |
$2K |
| 90632 |
|
43 |
43 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
84 |
84 |
$1K |
| 90658 |
|
43 |
43 |
$867.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
364 |
340 |
$384.13 |
| 90651 |
|
54 |
54 |
$229.34 |
| 99442 |
|
15 |
14 |
$216.30 |
| 90734 |
|
21 |
21 |
$128.85 |
| 90715 |
|
15 |
15 |
$100.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
26 |
$87.72 |
| 99406 |
|
53 |
51 |
$80.13 |
| 90686 |
|
245 |
245 |
$58.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
95 |
$49.93 |
| 3080F |
|
870 |
797 |
$0.00 |
| 3075F |
|
2,106 |
1,983 |
$0.00 |
| 3074F |
|
14,364 |
12,520 |
$0.00 |
| 3079F |
|
4,791 |
4,447 |
$0.00 |
| 1101F |
|
364 |
335 |
$0.00 |
| 1160F |
|
10,224 |
8,786 |
$0.00 |
| 3078F |
|
11,993 |
10,580 |
$0.00 |
| 4004F |
|
198 |
189 |
$0.00 |
| 90461 |
|
331 |
328 |
$0.00 |
| 3077F |
|
1,201 |
1,098 |
$0.00 |
| 1158F |
|
1,016 |
962 |
$0.00 |
| 1159F |
|
10,574 |
8,985 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
21 |
19 |
$0.00 |
| 90685 |
|
108 |
108 |
$0.00 |