| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,466 |
21,748 |
$7.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,979 |
10,313 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,942 |
8,750 |
$24K |
| 99215 |
Prolong outpt/office vis |
1,639 |
1,535 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,100 |
1,937 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
255 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
214 |
210 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,327 |
4,046 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
152 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
71 |
$1K |
| 90686 |
|
294 |
283 |
$622.77 |
| 99205 |
Prolong outpt/office vis |
513 |
504 |
$554.96 |
| 0031A |
|
18 |
18 |
$280.80 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
120 |
$263.40 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
15 |
$217.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
122 |
121 |
$173.51 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
163 |
$159.86 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
110 |
100 |
$142.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
346 |
$137.06 |
| 3078F |
|
167 |
140 |
$120.00 |
| 3077F |
|
57 |
51 |
$100.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
263 |
219 |
$83.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
42 |
$62.72 |
| 3075F |
|
63 |
59 |
$60.00 |
| 3074F |
|
155 |
136 |
$60.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$48.40 |
| 3079F |
|
89 |
78 |
$40.00 |
| 3044F |
|
51 |
45 |
$40.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
430 |
317 |
$3.24 |
| 99173 |
|
42 |
41 |
$2.09 |
| 90791 |
Psychiatric diagnostic evaluation |
70 |
66 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
39 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
52 |
37 |
$0.00 |
| 90656 |
|
31 |
31 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$0.00 |
| 87428 |
|
19 |
19 |
$0.00 |