| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,970 |
32,090 |
$9.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,316 |
13,994 |
$155K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,041 |
1,473 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,813 |
2,663 |
$24K |
| G0008 |
Administration of influenza virus vaccine |
1,122 |
1,104 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,527 |
1,434 |
$19K |
| 90656 |
|
447 |
442 |
$18K |
| G0009 |
Administration of pneumococcal vaccine |
851 |
831 |
$12K |
| 90474 |
|
690 |
684 |
$5K |
| 90677 |
|
583 |
566 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,470 |
3,444 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,282 |
4,232 |
$3K |
| 90686 |
|
573 |
562 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,327 |
1,321 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,370 |
2,350 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
77 |
77 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
78 |
52 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,495 |
1,481 |
$1K |
| 90680 |
|
411 |
410 |
$1K |
| 90480 |
|
50 |
50 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
190 |
178 |
$962.00 |
| 99188 |
|
606 |
595 |
$642.19 |
| 90633 |
|
332 |
330 |
$529.91 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,596 |
4,180 |
$510.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,429 |
1,392 |
$487.10 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
135 |
130 |
$354.85 |
| 90648 |
|
461 |
459 |
$177.51 |
| 90723 |
|
223 |
223 |
$172.48 |
| 36416 |
|
513 |
499 |
$22.28 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$18.95 |
| 0002A |
|
55 |
53 |
$0.00 |
| 99177 |
|
195 |
194 |
$0.00 |
| 90681 |
|
293 |
286 |
$0.00 |
| 90670 |
|
66 |
66 |
$0.00 |
| 90734 |
|
99 |
98 |
$0.00 |
| 91300 |
|
94 |
83 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
252 |
248 |
$0.00 |
| 99442 |
|
35 |
35 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90700 |
|
28 |
27 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
396 |
394 |
$0.00 |
| 90651 |
|
152 |
150 |
$0.00 |
| 90697 |
|
260 |
253 |
$0.00 |
| 90698 |
|
137 |
135 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| 0001A |
|
29 |
29 |
$0.00 |
| 99441 |
|
21 |
20 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$0.00 |