| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
827 |
632 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,123 |
1,033 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
421 |
381 |
$35K |
| T1015 |
Clinic visit/encounter, all-inclusive |
109 |
107 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
124 |
$8K |
| 90686 |
|
104 |
104 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
334 |
214 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
161 |
115 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
56 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
413 |
307 |
$486.53 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$328.80 |
| T1016 |
Case management, each 15 minutes |
14 |
13 |
$293.28 |
| 90688 |
|
18 |
17 |
$217.40 |
| S4930 |
|
13 |
13 |
$130.00 |