| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,048 |
14,320 |
$5.17M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,773 |
1,599 |
$209.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,062 |
3,668 |
$113.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,754 |
5,124 |
$30.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,145 |
598 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
836 |
489 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
112 |
107 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
489 |
454 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
212 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
229 |
228 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$0.00 |
| 96127 |
|
1,728 |
1,457 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,342 |
1,317 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| 90686 |
|
58 |
58 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
115 |
105 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
90 |
$0.00 |