| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,254 |
2,953 |
$347K |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,513 |
8,368 |
$244K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,606 |
1,936 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
608 |
413 |
$68K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
456 |
336 |
$56K |
| 90834 |
Psychotherapy, 45 minutes with patient |
967 |
470 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
451 |
384 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,074 |
797 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
103 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
112 |
68 |
$8K |
| 90686 |
|
702 |
481 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
409 |
311 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
44 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
406 |
270 |
$1K |
| 90474 |
|
18 |
12 |
$180.00 |
| 90670 |
|
50 |
40 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
82 |
69 |
$0.00 |
| 90648 |
|
54 |
40 |
$0.00 |
| 90671 |
|
16 |
14 |
$0.00 |
| 90677 |
|
46 |
32 |
$0.00 |
| 90697 |
|
66 |
53 |
$0.00 |
| 90723 |
|
18 |
13 |
$0.00 |
| 90680 |
|
18 |
12 |
$0.00 |