| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,996 |
13,612 |
$523K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,947 |
5,442 |
$257K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,457 |
5,014 |
$138K |
| 90832 |
Psychotherapy, 30 minutes with patient |
289 |
186 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,297 |
1,291 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
93 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
316 |
316 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$5K |
| 90686 |
|
609 |
608 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
60 |
$2K |
| 99442 |
|
70 |
45 |
$679.80 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
51 |
$658.30 |
| 90656 |
|
20 |
20 |
$424.65 |
| 99441 |
|
21 |
13 |
$110.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
32 |
31 |
$0.00 |