| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,827 |
1,382 |
$316K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
656 |
561 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
399 |
260 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
45 |
$0.00 |
| 96150 |
|
119 |
118 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
104 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
61 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |