| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,548 |
32,960 |
$4.41M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,008 |
563 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
121 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,067 |
3,617 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
89 |
49 |
$0.00 |
| 85018 |
|
30 |
30 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
158 |
134 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
738 |
738 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
696 |
695 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
346 |
344 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
380 |
380 |
$0.00 |
| 69210 |
|
29 |
28 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
87 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
48 |
48 |
$0.00 |