| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,300 |
25,722 |
$4.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,643 |
15,214 |
$3K |
| 3078F |
|
44 |
42 |
$120.00 |
| 3074F |
|
41 |
39 |
$60.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,845 |
1,439 |
$16.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,678 |
4,151 |
$5.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
622 |
589 |
$5.09 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
315 |
311 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,271 |
1,259 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,058 |
1,026 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
341 |
338 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
199 |
196 |
$0.00 |
| 90461 |
|
66 |
65 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
31 |
25 |
$0.00 |
| 90633 |
|
15 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
41 |
$0.00 |
| 90648 |
|
30 |
29 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
18 |
18 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
48 |
46 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
44 |
27 |
$0.00 |
| 90686 |
|
250 |
249 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,046 |
926 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
85 |
81 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
338 |
310 |
$0.00 |
| 90677 |
|
26 |
26 |
$0.00 |
| 90688 |
|
204 |
189 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 96127 |
|
48 |
47 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
636 |
377 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
139 |
131 |
$0.00 |
| 90651 |
|
18 |
18 |
$0.00 |
| 87807 |
|
15 |
13 |
$0.00 |
| 87428 |
|
17 |
14 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |