| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,592 |
3,393 |
$649K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,090 |
732 |
$874.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,103 |
1,787 |
$821.37 |
| 90832 |
Psychotherapy, 30 minutes with patient |
335 |
240 |
$143.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
24 |
$102.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$68.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
60 |
$5.09 |
| 90785 |
|
290 |
216 |
$4.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
175 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
57 |
52 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
28 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |