| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,206 |
7,747 |
$678K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,388 |
3,301 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,742 |
856 |
$49K |
| 90837 |
Psychotherapy, 53 minutes with patient |
582 |
216 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
729 |
299 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,383 |
566 |
$23K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
691 |
300 |
$10K |
| 80305 |
|
2,216 |
751 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
619 |
326 |
$9K |
| 92015 |
Determination of refractive state |
1,213 |
667 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
358 |
180 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
58 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
69 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
884 |
484 |
$877.66 |
| 0031A |
|
28 |
13 |
$579.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$494.62 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
12 |
$405.66 |
| 90688 |
|
41 |
32 |
$398.65 |
| 96127 |
|
449 |
205 |
$254.08 |
| T1016 |
Case management, each 15 minutes |
32 |
16 |
$246.38 |
| 91301 |
|
29 |
13 |
$0.10 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
13 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
39 |
26 |
$0.00 |
| 1000F |
|
24 |
14 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
28 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$0.00 |