| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,380 |
3,601 |
$596K |
| 0071A |
|
16 |
14 |
$674.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,884 |
1,570 |
$491.14 |
| 0011A |
|
13 |
13 |
$220.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
162 |
$110.97 |
| 90658 |
|
66 |
50 |
$108.80 |
| 90832 |
Psychotherapy, 30 minutes with patient |
588 |
239 |
$51.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$12.60 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
78 |
40 |
$5.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
651 |
495 |
$0.00 |
| 99173 |
|
106 |
89 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
16 |
$0.00 |
| 92551 |
|
77 |
64 |
$0.00 |
| 90688 |
|
34 |
32 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$0.00 |