| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,714 |
13,311 |
$1.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,307 |
7,543 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,096 |
7,954 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,042 |
688 |
$44K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,170 |
1,104 |
$6K |
| 92133 |
|
205 |
148 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
103 |
69 |
$3K |
| 99070 |
|
738 |
680 |
$2K |
| 92250 |
|
57 |
26 |
$871.87 |
| 92134 |
|
19 |
12 |
$554.97 |
| 92015 |
Determination of refractive state |
70 |
58 |
$168.15 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
169 |
165 |
$34.49 |
| 96127 |
|
33 |
28 |
$19.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 92136 |
|
13 |
13 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
26 |
25 |
$0.00 |