| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,496 |
4,704 |
$676K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,650 |
1,494 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
831 |
759 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
163 |
$7K |
| 99215 |
Prolong outpt/office vis |
54 |
52 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$551.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
45 |
$164.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
42 |
$27.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$21.92 |
| 90686 |
|
12 |
12 |
$0.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
32 |
$0.02 |
| 3008F |
|
204 |
198 |
$0.00 |
| 2001F |
|
205 |
198 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 90461 |
|
23 |
15 |
$0.00 |