| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,753 |
6,653 |
$971K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,516 |
3,752 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
258 |
221 |
$647.40 |
| 90686 |
|
599 |
459 |
$579.85 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
100 |
83 |
$470.40 |
| 36415 |
Collection of venous blood by venipuncture |
436 |
296 |
$287.00 |
| 90715 |
|
163 |
129 |
$194.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
42 |
$176.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,238 |
1,024 |
$128.25 |
| 90791 |
Psychiatric diagnostic evaluation |
219 |
146 |
$91.58 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
413 |
377 |
$85.00 |
| 81025 |
|
130 |
102 |
$54.18 |
| 81002 |
|
172 |
147 |
$26.00 |
| 90670 |
|
47 |
32 |
$25.60 |
| 99384 |
|
16 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
945 |
715 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
92 |
$0.00 |
| 99383 |
|
15 |
14 |
$0.00 |
| 93000 |
|
41 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
252 |
187 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
482 |
323 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
42 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
74 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$0.00 |