| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,470 |
6,505 |
$1.31M |
| 90744 |
|
480 |
480 |
$0.00 |
| 99381 |
|
655 |
655 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,219 |
2,171 |
$0.00 |
| 90677 |
|
90 |
90 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
309 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,187 |
1,108 |
$0.00 |
| 92551 |
|
464 |
464 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
137 |
128 |
$0.00 |
| 90698 |
|
86 |
86 |
$0.00 |
| 90686 |
|
200 |
200 |
$0.00 |
| 90680 |
|
132 |
132 |
$0.00 |
| 90688 |
|
117 |
116 |
$0.00 |
| 90656 |
|
55 |
55 |
$0.00 |
| 90474 |
|
17 |
17 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,021 |
1,006 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
105 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,360 |
1,344 |
$0.00 |
| 99173 |
|
249 |
249 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
96 |
96 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
279 |
279 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
758 |
619 |
$0.00 |
| 90670 |
|
239 |
239 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
97 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$0.00 |
| 90687 |
|
12 |
12 |
$0.00 |