| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,312 |
6,967 |
$1.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,533 |
20,278 |
$456K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,684 |
2,495 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,445 |
2,393 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,046 |
2,008 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,378 |
1,307 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
380 |
374 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
208 |
164 |
$9K |
| 92552 |
|
1,729 |
1,715 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
128 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
101 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
946 |
932 |
$3K |
| 90686 |
|
1,732 |
1,708 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
148 |
148 |
$2K |
| 99173 |
|
1,799 |
1,784 |
$1K |
| 90461 |
|
79 |
79 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
486 |
483 |
$907.91 |
| 0012A |
|
23 |
23 |
$721.36 |
| 0011A |
|
32 |
32 |
$424.44 |
| 99441 |
|
61 |
57 |
$336.82 |
| 11721 |
|
46 |
45 |
$262.50 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
131 |
130 |
$104.68 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
13 |
13 |
$96.71 |
| 99383 |
|
171 |
171 |
$85.17 |
| 83655 |
|
26 |
26 |
$34.65 |
| 94760 |
|
19 |
17 |
$15.12 |
| 99382 |
|
51 |
51 |
$0.00 |
| 90633 |
|
110 |
110 |
$0.00 |
| 90670 |
|
101 |
101 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
16 |
12 |
$0.00 |
| 96160 |
|
14 |
12 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 84703 |
|
423 |
357 |
$0.00 |
| 1031F |
|
119 |
99 |
$0.00 |
| 90716 |
|
83 |
83 |
$0.00 |
| 81005 |
|
37 |
37 |
$0.00 |
| 90651 |
|
75 |
75 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 3351F |
|
12 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |