| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,330 |
3,381 |
$675K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,348 |
3,884 |
$47K |
| 0012A |
|
247 |
247 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
413 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
687 |
658 |
$6K |
| 0011A |
|
205 |
205 |
$5K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
671 |
319 |
$5K |
| 90686 |
|
299 |
290 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
917 |
862 |
$1K |
| 0031A |
|
41 |
41 |
$881.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$414.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
75 |
72 |
$287.81 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$115.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
593 |
533 |
$14.00 |
| 90791 |
Psychiatric diagnostic evaluation |
343 |
343 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
94 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 91301 |
|
434 |
422 |
$0.00 |
| 99000 |
|
74 |
70 |
$0.00 |
| 91303 |
|
28 |
28 |
$0.00 |