| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,748 |
2,412 |
$828K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
493 |
409 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,119 |
951 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
246 |
126 |
$1K |
| 0002A |
|
27 |
27 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
661 |
570 |
$751.44 |
| 0001A |
|
19 |
19 |
$671.22 |
| 0004A |
|
17 |
17 |
$628.66 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$525.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
513 |
494 |
$35.44 |
| D1110 |
Prophylaxis - adult |
171 |
163 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
178 |
172 |
$0.00 |
| 90713 |
|
43 |
42 |
$0.00 |
| 90715 |
|
40 |
38 |
$0.00 |
| 99188 |
|
104 |
104 |
$0.00 |
| 91300 |
|
119 |
104 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$0.00 |
| 90651 |
|
70 |
70 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
82 |
73 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |