| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,618 |
2,815 |
$340K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,311 |
676 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,461 |
963 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
415 |
324 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
112 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
149 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
96 |
77 |
$375.00 |
| 99442 |
|
79 |
30 |
$175.28 |
| 90834 |
Psychotherapy, 45 minutes with patient |
226 |
143 |
$55.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
19 |
$53.46 |
| 90649 |
|
13 |
12 |
$0.00 |
| 1160F |
|
207 |
175 |
$0.00 |
| 90619 |
|
20 |
18 |
$0.00 |
| 90686 |
|
23 |
18 |
$0.00 |