| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,852 |
3,122 |
$761K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,683 |
689 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,466 |
1,063 |
$20K |
| 00003 |
Internal/system code - not a standard HCPCS code |
85 |
59 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
819 |
545 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
199 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
21 |
$4K |
| 99401 |
|
12 |
12 |
$228.84 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
16 |
16 |
$203.52 |
| 90686 |
|
231 |
169 |
$142.84 |
| 92551 |
|
82 |
58 |
$89.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
134 |
$73.65 |
| 81025 |
|
120 |
76 |
$66.78 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
50 |
$60.31 |
| A4267 |
Contraceptive supply, condom, male, each |
18 |
13 |
$57.20 |
| 90744 |
|
16 |
13 |
$18.00 |
| 90715 |
|
21 |
16 |
$18.00 |
| 90651 |
|
16 |
14 |
$9.00 |
| 90713 |
|
16 |
13 |
$9.00 |
| 99000 |
|
12 |
12 |
$2.85 |
| 90620 |
|
43 |
29 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
50 |
45 |
$0.00 |
| 99173 |
|
69 |
49 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
17 |
$0.00 |