| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,420 |
2,587 |
$220K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,630 |
1,249 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,493 |
1,042 |
$31K |
| 90651 |
|
376 |
267 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,160 |
829 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
568 |
434 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
614 |
378 |
$5K |
| 90674 |
|
252 |
158 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
190 |
90 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
545 |
340 |
$2K |
| 90686 |
|
263 |
170 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
50 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
52 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
175 |
143 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
246 |
191 |
$817.69 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
14 |
$813.31 |
| 90746 |
|
25 |
15 |
$784.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
229 |
173 |
$718.34 |
| 81025 |
|
285 |
177 |
$686.00 |
| 99201 |
|
58 |
46 |
$650.01 |
| 90716 |
|
47 |
27 |
$639.34 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$604.75 |
| 90756 |
|
52 |
32 |
$598.24 |
| D1208 |
Topical application of fluoride, excluding varnish |
44 |
18 |
$224.85 |
| 93000 |
|
12 |
12 |
$162.20 |
| 90632 |
|
16 |
12 |
$154.14 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
117 |
92 |
$99.40 |
| 92551 |
|
31 |
15 |
$92.70 |
| 81002 |
|
54 |
41 |
$69.44 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
37 |
$50.60 |
| 90633 |
|
226 |
139 |
$41.50 |
| 90713 |
|
128 |
80 |
$20.75 |
| 90791 |
Psychiatric diagnostic evaluation |
20 |
12 |
$0.00 |
| 90734 |
|
17 |
12 |
$0.00 |