| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,791 |
4,911 |
$978K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,964 |
1,366 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
392 |
310 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
265 |
209 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
136 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
86 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
234 |
190 |
$3K |
| 99384 |
|
62 |
45 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
31 |
$2K |
| 99382 |
|
80 |
66 |
$2K |
| 99383 |
|
191 |
141 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$730.57 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
13 |
$722.35 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
14 |
$294.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
112 |
$262.88 |
| 90686 |
|
131 |
126 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
28 |
$0.00 |