| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,787 |
6,996 |
$946K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,766 |
3,366 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
362 |
$9K |
| 87428 |
|
358 |
325 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
395 |
232 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
112 |
$1K |
| 90734 |
|
85 |
77 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
146 |
$991.86 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$475.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
84 |
$296.92 |
| 99173 |
|
243 |
235 |
$126.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
295 |
279 |
$74.40 |
| 1000F |
|
1,550 |
1,363 |
$0.00 |
| 99000 |
|
679 |
621 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
98 |
77 |
$0.00 |
| 3074F |
|
1,535 |
1,339 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
565 |
502 |
$0.00 |
| 94760 |
|
215 |
208 |
$0.00 |
| 3351F |
|
34 |
29 |
$0.00 |
| 90651 |
|
16 |
15 |
$0.00 |
| 92551 |
|
17 |
14 |
$0.00 |
| 1160F |
|
1,761 |
1,546 |
$0.00 |
| 3078F |
|
1,407 |
1,231 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
76 |
55 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
13 |
$0.00 |