| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
55,979 |
44,071 |
$6.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,373 |
12,732 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,248 |
14,775 |
$193K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,887 |
4,644 |
$80K |
| 90686 |
|
2,431 |
2,326 |
$61K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,669 |
2,535 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,265 |
1,230 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
915 |
883 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,607 |
1,416 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
666 |
571 |
$18K |
| 90670 |
|
1,110 |
1,050 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
237 |
141 |
$15K |
| 92551 |
|
623 |
607 |
$12K |
| 90715 |
|
585 |
548 |
$11K |
| 90698 |
|
820 |
768 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
522 |
487 |
$11K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,648 |
1,479 |
$10K |
| 90633 |
|
600 |
575 |
$9K |
| 90680 |
|
678 |
631 |
$9K |
| 90744 |
|
560 |
523 |
$8K |
| 90734 |
|
399 |
365 |
$8K |
| 90710 |
|
194 |
185 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
270 |
257 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
164 |
156 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
195 |
140 |
$4K |
| 94760 |
|
93 |
84 |
$4K |
| 90473 |
|
341 |
312 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
72 |
57 |
$3K |
| 99173 |
|
171 |
165 |
$2K |
| 90651 |
|
343 |
336 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
135 |
132 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
418 |
388 |
$840.82 |
| 90700 |
|
69 |
65 |
$823.88 |
| 90648 |
|
39 |
39 |
$418.32 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
13 |
$283.06 |
| 90832 |
Psychotherapy, 30 minutes with patient |
447 |
375 |
$15.78 |
| 90716 |
|
45 |
41 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
73 |
66 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
64 |
51 |
$0.00 |
| 0001A |
|
72 |
72 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 0002A |
|
68 |
67 |
$0.00 |
| 91300 |
|
153 |
137 |
$0.00 |
| 90707 |
|
43 |
40 |
$0.00 |
| 90685 |
|
101 |
96 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
53 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |