| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,102 |
19,747 |
$2.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,415 |
6,910 |
$10K |
| G9920 |
Screening performed and negative |
1,962 |
1,905 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
844 |
822 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
404 |
278 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
94 |
69 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
135 |
100 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,655 |
2,472 |
$3K |
| 92551 |
|
308 |
308 |
$2K |
| 92552 |
|
1,304 |
1,217 |
$932.60 |
| 90686 |
|
875 |
858 |
$932.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,546 |
1,426 |
$731.19 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
364 |
345 |
$707.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
429 |
409 |
$631.03 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
388 |
379 |
$302.56 |
| 85018 |
|
1,481 |
1,471 |
$276.73 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
291 |
280 |
$258.72 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
13 |
$175.52 |
| 90648 |
|
337 |
331 |
$126.00 |
| 99384 |
|
14 |
12 |
$112.02 |
| 90670 |
|
325 |
319 |
$18.00 |
| 90723 |
|
238 |
233 |
$18.00 |
| 90681 |
|
88 |
86 |
$9.00 |
| 99173 |
|
35 |
33 |
$4.56 |
| 92015 |
Determination of refractive state |
736 |
734 |
$0.00 |
| 90633 |
|
81 |
80 |
$0.00 |
| 90734 |
|
59 |
58 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
90 |
$0.00 |
| 92081 |
|
79 |
79 |
$0.00 |
| 1160F |
|
83 |
83 |
$0.00 |
| 1159F |
|
83 |
83 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 3078F |
|
43 |
43 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
79 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
17 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90651 |
|
75 |
75 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
234 |
234 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |
| 92060 |
|
94 |
94 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 3074F |
|
19 |
18 |
$0.00 |
| 1170F |
|
21 |
21 |
$0.00 |
| 97802 |
|
19 |
19 |
$0.00 |