| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,020 |
10,262 |
$1.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,476 |
5,627 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,585 |
1,440 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
242 |
234 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
185 |
154 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
130 |
111 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
107 |
105 |
$6K |
| 87428 |
|
238 |
232 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$5K |
| 99000 |
|
1,668 |
1,464 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
89 |
80 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
32 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
83 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
26 |
$3K |
| 81002 |
|
2,422 |
1,980 |
$2K |
| 90686 |
|
750 |
733 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 81025 |
|
427 |
397 |
$1K |
| 0011A |
|
38 |
38 |
$1K |
| 0012A |
|
21 |
21 |
$736.00 |
| 90715 |
|
52 |
52 |
$543.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,963 |
1,890 |
$441.09 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$342.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
96 |
79 |
$211.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,240 |
707 |
$195.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$194.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
26 |
$83.34 |
| 3078F |
|
129 |
118 |
$0.00 |
| 99173 |
|
148 |
146 |
$0.00 |
| 90670 |
|
68 |
68 |
$0.00 |
| 3725F |
|
147 |
130 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
943 |
856 |
$0.00 |
| 3008F |
|
185 |
167 |
$0.00 |
| 1036F |
|
273 |
243 |
$0.00 |
| 3074F |
|
139 |
126 |
$0.00 |
| 92551 |
|
47 |
47 |
$0.00 |
| 91301 |
|
114 |
106 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |
| 1126F |
|
14 |
12 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 96127 |
|
53 |
49 |
$0.00 |