| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,205 |
11,303 |
$2.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,657 |
6,089 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,406 |
5,016 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
357 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
85 |
85 |
$4K |
| 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) |
761 |
713 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
202 |
202 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
95 |
74 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
194 |
189 |
$2K |
| 99215 |
Prolong outpt/office vis |
171 |
153 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$2K |
| 90656 |
|
19 |
19 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
157 |
151 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
64 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
461 |
444 |
$742.47 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
12 |
$685.79 |
| 90686 |
|
363 |
359 |
$392.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
100 |
$250.67 |
| 0064A |
|
20 |
17 |
$223.74 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
144 |
$133.73 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
30 |
$0.00 |
| 99443 |
|
17 |
16 |
$0.00 |