| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,780 |
13,288 |
$5.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,102 |
4,282 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,642 |
3,500 |
$7K |
| 99215 |
Prolong outpt/office vis |
1,232 |
1,046 |
$2K |
| 90674 |
|
369 |
237 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
513 |
414 |
$923.72 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
567 |
461 |
$774.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
160 |
$423.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,888 |
1,336 |
$284.49 |
| 90670 |
|
17 |
13 |
$230.71 |
| 90756 |
|
342 |
251 |
$160.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
53 |
$116.35 |
| 90686 |
|
42 |
31 |
$96.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
357 |
263 |
$68.48 |
| 90715 |
|
22 |
13 |
$35.73 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
15 |
$0.00 |