| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,903 |
13,575 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,927 |
7,361 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,663 |
4,297 |
$25K |
| 99215 |
Prolong outpt/office vis |
2,067 |
1,979 |
$17K |
| 90834 |
Psychotherapy, 45 minutes with patient |
829 |
567 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
687 |
641 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
637 |
408 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
160 |
148 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
211 |
164 |
$912.03 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
91 |
80 |
$664.49 |
| G0008 |
Administration of influenza virus vaccine |
284 |
267 |
$425.56 |
| 99397 |
|
44 |
40 |
$331.73 |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
25 |
$189.76 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
40 |
$97.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
808 |
787 |
$48.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
180 |
179 |
$14.51 |
| 90686 |
|
443 |
431 |
$10.99 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
46 |
46 |
$2.71 |
| 90656 |
|
20 |
20 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
40 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
53 |
$0.00 |
| 91300 |
|
19 |
13 |
$0.00 |