| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,839 |
4,312 |
$1.06M |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,565 |
1,961 |
$114K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,955 |
2,768 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,028 |
3,038 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
722 |
410 |
$30K |
| 90791 |
Psychiatric diagnostic evaluation |
402 |
325 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
403 |
286 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
87 |
56 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
117 |
36 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
218 |
150 |
$0.00 |
| 90461 |
|
52 |
25 |
$0.00 |
| 90713 |
|
27 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
38 |
24 |
$0.00 |
| 90661 |
|
18 |
13 |
$0.00 |
| 90633 |
|
22 |
14 |
$0.00 |
| 96127 |
|
356 |
179 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
30 |
25 |
$0.00 |
| 90716 |
|
23 |
13 |
$0.00 |
| D1330 |
|
16 |
13 |
$0.00 |
| D1310 |
|
17 |
13 |
$0.00 |