| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,509 |
11,943 |
$2.12M |
| 90834 |
Psychotherapy, 45 minutes with patient |
210 |
196 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
44 |
44 |
$3K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
23 |
13 |
$0.11 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
302 |
287 |
$0.00 |
| 80061 |
Lipid panel |
50 |
50 |
$0.00 |
| 82948 |
|
167 |
152 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
72 |
$0.00 |
| 92552 |
|
189 |
188 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
105 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
154 |
153 |
$0.00 |
| 99173 |
|
185 |
185 |
$0.00 |
| 90670 |
|
39 |
39 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
657 |
652 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,629 |
1,488 |
$0.00 |
| 85018 |
|
281 |
281 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
47 |
47 |
$0.00 |
| 90686 |
|
496 |
495 |
$0.00 |
| 81001 |
|
14 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
72 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22 |
22 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
19 |
$0.00 |