| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,212 |
8,020 |
$2.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,401 |
3,242 |
$59K |
| 90834 |
Psychotherapy, 45 minutes with patient |
260 |
181 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
807 |
782 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
649 |
643 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
303 |
303 |
$1K |
| 90656 |
|
22 |
22 |
$376.74 |
| 99188 |
|
13 |
13 |
$134.81 |
| 90715 |
|
12 |
12 |
$38.67 |
| 87428 |
|
132 |
132 |
$29.39 |
| 90686 |
|
166 |
166 |
$20.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
96 |
$13.00 |
| 3078F |
|
573 |
556 |
$0.00 |
| 3077F |
|
24 |
24 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
335 |
321 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
207 |
207 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 90671 |
|
41 |
41 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90661 |
|
44 |
44 |
$0.00 |
| 90670 |
|
17 |
17 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 4010F |
|
15 |
15 |
$0.00 |
| 1111F |
|
1,071 |
974 |
$0.00 |
| 3079F |
|
91 |
90 |
$0.00 |
| 3074F |
|
675 |
651 |
$0.00 |
| 3008F |
|
989 |
953 |
$0.00 |
| 90647 |
|
40 |
40 |
$0.00 |
| 90723 |
|
41 |
41 |
$0.00 |
| 1126F |
|
271 |
266 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |
| 3075F |
|
20 |
19 |
$0.00 |
| 90651 |
|
31 |
31 |
$0.00 |