| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,254 |
29,560 |
$14.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,660 |
9,824 |
$28K |
| 11721 |
|
1,101 |
482 |
$15K |
| 99215 |
Prolong outpt/office vis |
3,675 |
2,934 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,800 |
6,050 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,517 |
1,171 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,802 |
2,091 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,390 |
1,113 |
$1K |
| 90674 |
|
675 |
527 |
$1K |
| 90670 |
|
15 |
14 |
$828.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,490 |
1,036 |
$595.53 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,563 |
1,262 |
$594.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
472 |
390 |
$477.38 |
| 90732 |
|
50 |
37 |
$346.47 |
| 90630 |
|
286 |
226 |
$315.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,523 |
1,135 |
$303.09 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
261 |
169 |
$251.95 |
| 90834 |
Psychotherapy, 45 minutes with patient |
150 |
108 |
$141.98 |
| 92133 |
|
347 |
277 |
$78.74 |
| 92083 |
|
139 |
109 |
$70.68 |
| 20610 |
|
15 |
15 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
66 |
39 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
18 |
$0.00 |
| 92134 |
|
45 |
42 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
12 |
$0.00 |