| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,657 |
16,170 |
$3.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,285 |
4,818 |
$297K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,863 |
3,563 |
$178K |
| 90837 |
Psychotherapy, 53 minutes with patient |
868 |
541 |
$81K |
| 99443 |
|
975 |
944 |
$67K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
155 |
150 |
$15K |
| 99215 |
Prolong outpt/office vis |
146 |
143 |
$13K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
34 |
28 |
$3K |
| 96127 |
|
788 |
774 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$1K |
| 99442 |
|
34 |
28 |
$895.38 |
| 90686 |
|
73 |
72 |
$692.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$404.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
39 |
$175.21 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$27.17 |
| 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) |
228 |
206 |
$0.00 |