| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,203 |
13,743 |
$861K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,762 |
10,380 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,982 |
1,899 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
92 |
$483.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
375 |
349 |
$440.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
612 |
598 |
$315.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
217 |
210 |
$273.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
41 |
$269.67 |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
42 |
$225.24 |
| 90688 |
|
281 |
274 |
$173.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
92 |
92 |
$169.18 |
| 90837 |
Psychotherapy, 53 minutes with patient |
65 |
54 |
$146.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
139 |
$123.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
51 |
$81.34 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$80.39 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$73.74 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
34 |
$72.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
35 |
$13.69 |
| 90651 |
|
14 |
14 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
49 |
$0.00 |
| 3725F |
|
181 |
181 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |