| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
430 |
373 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
139 |
$16K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
66 |
66 |
$12K |
| T1015 |
Clinic visit/encounter, all-inclusive |
52 |
52 |
$7K |
| 99215 |
Prolong outpt/office vis |
32 |
32 |
$4K |
| 90686 |
|
330 |
313 |
$3K |
| 90633 |
|
128 |
125 |
$2K |
| 90651 |
|
35 |
35 |
$2K |
| 90715 |
|
111 |
111 |
$2K |
| 90670 |
|
70 |
70 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
29 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
332 |
312 |
$1K |
| 90647 |
|
40 |
40 |
$878.40 |
| 90688 |
|
55 |
51 |
$717.48 |
| 90707 |
|
29 |
29 |
$670.90 |
| 90713 |
|
27 |
27 |
$544.56 |
| 90723 |
|
12 |
12 |
$263.52 |
| 90716 |
|
13 |
13 |
$219.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
79 |
78 |
$90.90 |
| T1016 |
Case management, each 15 minutes |
126 |
73 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |