| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,182 |
12,908 |
$777K |
| T1015 |
Clinic visit/encounter, all-inclusive |
20,324 |
14,479 |
$289K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,335 |
2,304 |
$167K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,317 |
952 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,051 |
887 |
$78K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,457 |
1,058 |
$51K |
| 90791 |
Psychiatric diagnostic evaluation |
435 |
382 |
$36K |
| D9999 |
Unspecified adjunctive procedure, by report |
289 |
254 |
$24K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
622 |
121 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,097 |
870 |
$11K |
| 87428 |
|
309 |
263 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
145 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
121 |
93 |
$2K |
| 80305 |
|
178 |
86 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
84 |
$1K |
| 90686 |
|
421 |
348 |
$809.32 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
12 |
$205.80 |
| 90785 |
|
18 |
12 |
$122.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
43 |
$44.50 |
| 90688 |
|
13 |
12 |
$33.61 |
| 81002 |
|
13 |
12 |
$23.03 |