| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,042 |
20,454 |
$4.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,304 |
12,030 |
$638K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,106 |
2,898 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,483 |
1,397 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,095 |
1,092 |
$96K |
| 90837 |
Psychotherapy, 53 minutes with patient |
692 |
447 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
475 |
471 |
$42K |
| 99443 |
|
138 |
124 |
$8K |
| 99215 |
Prolong outpt/office vis |
66 |
57 |
$6K |
| 90670 |
|
686 |
664 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
62 |
$4K |
| 90686 |
|
365 |
358 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
912 |
900 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
90 |
$3K |
| 90680 |
|
247 |
234 |
$2K |
| 90698 |
|
192 |
183 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 90677 |
|
165 |
164 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90633 |
|
131 |
131 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
367 |
362 |
$989.90 |
| 90710 |
|
54 |
54 |
$540.25 |
| 90697 |
|
41 |
40 |
$439.41 |
| 96127 |
|
124 |
114 |
$244.90 |
| 90744 |
|
24 |
24 |
$119.06 |
| 90648 |
|
12 |
12 |
$93.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$75.81 |
| 90734 |
|
12 |
12 |
$23.84 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$7.28 |