| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,346 |
24,579 |
$5.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,247 |
9,351 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,823 |
3,773 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,658 |
7,402 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,000 |
1,473 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,028 |
1,549 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
925 |
702 |
$18K |
| 99215 |
Prolong outpt/office vis |
638 |
525 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
302 |
$3K |
| 85018 |
|
1,947 |
1,447 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
21 |
$3K |
| 90686 |
|
4,382 |
2,979 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
30 |
$1K |
| 87428 |
|
14 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
17 |
$1K |
| 90656 |
|
215 |
206 |
$792.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
220 |
193 |
$331.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$201.78 |
| 90670 |
|
660 |
542 |
$81.00 |
| 90723 |
|
396 |
351 |
$54.00 |
| 90647 |
|
327 |
292 |
$9.00 |
| 90680 |
|
198 |
186 |
$9.00 |
| 90734 |
|
134 |
134 |
$0.00 |
| 90633 |
|
154 |
147 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90715 |
|
142 |
142 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
85 |
63 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 91320 |
|
62 |
61 |
$0.00 |
| 90710 |
|
70 |
69 |
$0.00 |
| 99490 |
Ccm add 20min |
94 |
94 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$0.00 |
| 90620 |
|
24 |
24 |
$0.00 |
| 90696 |
|
47 |
47 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
44 |
31 |
$0.00 |
| 90480 |
|
111 |
110 |
$0.00 |
| 90651 |
|
223 |
214 |
$0.00 |
| 99484 |
|
13 |
13 |
$0.00 |
| 90677 |
|
73 |
73 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |