| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,535 |
12,112 |
$4.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,660 |
9,578 |
$25K |
| 99381 |
|
28 |
28 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
20 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
418 |
260 |
$660.50 |
| 90834 |
Psychotherapy, 45 minutes with patient |
315 |
205 |
$570.28 |
| 90832 |
Psychotherapy, 30 minutes with patient |
177 |
124 |
$441.84 |
| 99000 |
|
6,231 |
5,320 |
$118.80 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
383 |
364 |
$115.08 |
| 0011A |
|
32 |
30 |
$96.78 |
| 0012A |
|
38 |
32 |
$40.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
608 |
572 |
$20.94 |
| 81025 |
|
1,486 |
1,319 |
$7.23 |
| 81003 |
|
13,671 |
8,929 |
$3.98 |
| 90715 |
|
816 |
783 |
$0.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
122 |
$0.00 |
| 90688 |
|
74 |
68 |
$0.00 |
| 59430 |
|
270 |
247 |
$0.00 |
| 90686 |
|
250 |
240 |
$0.00 |
| 76820 |
|
215 |
153 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
548 |
388 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
85 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 91301 |
|
115 |
102 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |