| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,792 |
2,051 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,266 |
1,024 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
715 |
587 |
$25K |
| 90837 |
Psychotherapy, 53 minutes with patient |
163 |
106 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
166 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
204 |
183 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
112 |
105 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
88 |
61 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
61 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
34 |
27 |
$776.32 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$565.33 |
| 90657 |
|
13 |
13 |
$236.42 |
| 90633 |
|
16 |
15 |
$230.66 |
| 90686 |
|
12 |
12 |
$0.00 |