| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,945 |
23,694 |
$4.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,969 |
10,279 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,754 |
3,652 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
358 |
327 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,281 |
919 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,188 |
1,942 |
$4K |
| 99000 |
|
8,203 |
7,012 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
183 |
137 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
193 |
75 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,284 |
4,649 |
$4K |
| 92551 |
|
1,698 |
1,581 |
$3K |
| 90715 |
|
367 |
356 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
352 |
292 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
373 |
297 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
122 |
92 |
$980.58 |
| 90750 |
|
25 |
24 |
$800.76 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
102 |
$733.75 |
| 90662 |
|
72 |
65 |
$720.38 |
| 90834 |
Psychotherapy, 45 minutes with patient |
42 |
26 |
$604.44 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
31 |
$500.19 |
| 81002 |
|
628 |
467 |
$420.83 |
| 85018 |
|
945 |
875 |
$349.31 |
| 90732 |
|
12 |
12 |
$320.00 |
| 90620 |
|
33 |
33 |
$307.20 |
| 90734 |
|
115 |
113 |
$204.00 |
| 90686 |
|
596 |
457 |
$196.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
77 |
$155.75 |
| 90688 |
|
126 |
107 |
$140.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$134.40 |
| 90649 |
|
167 |
166 |
$122.00 |
| 99384 |
|
18 |
16 |
$118.10 |
| 86580 |
|
148 |
144 |
$80.40 |
| 81025 |
|
46 |
44 |
$75.08 |
| 90633 |
|
143 |
138 |
$11.07 |
| 80053 |
Comprehensive metabolic panel |
157 |
130 |
$9.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
134 |
113 |
$8.54 |
| 99173 |
|
287 |
188 |
$0.00 |
| 80061 |
Lipid panel |
85 |
80 |
$0.00 |
| 90658 |
|
86 |
86 |
$0.00 |
| 90670 |
|
67 |
67 |
$0.00 |
| 90661 |
|
368 |
332 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 90655 |
|
17 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
899 |
743 |
$0.00 |
| 90656 |
|
13 |
12 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| 85027 |
|
80 |
69 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |