| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,461 |
1,129 |
$242K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,158 |
4,620 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
780 |
441 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,038 |
978 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$437.76 |
| 90461 |
|
29 |
28 |
$382.05 |
| 90630 |
|
14 |
14 |
$161.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$147.58 |
| 90686 |
|
12 |
12 |
$76.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$16.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
689 |
582 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
39 |
27 |
$0.00 |