| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
67,390 |
55,838 |
$9.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,621 |
15,091 |
$208K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,930 |
6,332 |
$45K |
| 90834 |
Psychotherapy, 45 minutes with patient |
348 |
154 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,174 |
1,971 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
23 |
12 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
69 |
$1K |
| 99201 |
|
53 |
53 |
$392.37 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$337.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
162 |
161 |
$234.70 |
| 81025 |
|
92 |
91 |
$109.20 |
| 90744 |
|
160 |
159 |
$0.00 |
| 99381 |
|
57 |
57 |
$0.00 |
| Z1034 |
|
134 |
94 |
$0.00 |
| 85018 |
|
1,429 |
1,425 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,859 |
2,672 |
$0.00 |
| 92551 |
|
1,468 |
1,458 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,324 |
2,301 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
527 |
495 |
$0.00 |
| 86580 |
|
230 |
230 |
$0.00 |
| 90698 |
|
335 |
333 |
$0.00 |
| 90656 |
|
304 |
304 |
$0.00 |
| 90651 |
|
143 |
143 |
$0.00 |
| 90688 |
|
236 |
236 |
$0.00 |
| 90645 |
|
17 |
17 |
$0.00 |
| 90680 |
|
171 |
171 |
$0.00 |
| 90697 |
|
31 |
30 |
$0.00 |
| 90686 |
|
55 |
55 |
$0.00 |
| BCM11 |
|
75 |
67 |
$0.00 |
| 81000 |
|
37 |
29 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
576 |
570 |
$0.00 |
| 90669 |
|
503 |
500 |
$0.00 |
| 90633 |
|
122 |
122 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,506 |
1,501 |
$0.00 |
| 90461 |
|
125 |
123 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
62 |
59 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
476 |
472 |
$0.00 |
| 90734 |
|
144 |
144 |
$0.00 |
| 99173 |
|
579 |
576 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
779 |
774 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
394 |
387 |
$0.00 |
| 81002 |
|
114 |
109 |
$0.00 |
| 90700 |
|
127 |
127 |
$0.00 |
| 90713 |
|
43 |
43 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
320 |
318 |
$0.00 |
| 90715 |
|
45 |
44 |
$0.00 |
| BCM12 |
|
30 |
29 |
$0.00 |
| 90655 |
|
54 |
54 |
$0.00 |
| 90682 |
|
59 |
59 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |