| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,271 |
11,067 |
$3.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,374 |
7,157 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,120 |
6,246 |
$104K |
| 99215 |
Prolong outpt/office vis |
1,158 |
1,074 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
712 |
400 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
928 |
833 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
37 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
227 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
87 |
$2K |
| 90686 |
|
360 |
320 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
43 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
45 |
$682.31 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
44 |
40 |
$578.64 |
| 36415 |
Collection of venous blood by venipuncture |
1,179 |
1,107 |
$142.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$132.36 |
| 90461 |
|
260 |
227 |
$120.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
200 |
192 |
$40.04 |
| 99307 |
|
13 |
12 |
$30.80 |
| 90480 |
|
43 |
41 |
$0.00 |
| 0001A |
|
12 |
12 |
$0.00 |
| 90651 |
|
31 |
30 |
$0.00 |
| 90656 |
|
123 |
123 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
69 |
$0.00 |
| 90734 |
|
34 |
32 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
26 |
$0.00 |
| 90715 |
|
29 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
176 |
174 |
$0.00 |
| 91320 |
|
29 |
28 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |