| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,788 |
14,423 |
$1.78M |
| G9012 |
Other specified case management service not elsewhere classified |
1,956 |
1,812 |
$579K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,335 |
8,219 |
$70K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
152 |
130 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,547 |
2,286 |
$26K |
| 99215 |
Prolong outpt/office vis |
391 |
290 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,158 |
748 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
132 |
$3K |
| G9920 |
Screening performed and negative |
691 |
617 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
715 |
342 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,027 |
868 |
$778.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
368 |
248 |
$765.05 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
78 |
$745.40 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
102 |
$689.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
285 |
267 |
$634.13 |
| 90791 |
Psychiatric diagnostic evaluation |
47 |
29 |
$525.55 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
102 |
$511.81 |
| 92551 |
|
351 |
269 |
$416.25 |
| 85018 |
|
1,216 |
1,053 |
$366.62 |
| 99493 |
|
57 |
38 |
$336.42 |
| 90715 |
|
29 |
28 |
$258.03 |
| 90686 |
|
335 |
282 |
$135.21 |
| 99000 |
|
141 |
139 |
$83.75 |
| 81025 |
|
27 |
27 |
$32.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$29.32 |
| 82962 |
|
31 |
25 |
$26.46 |
| 90651 |
|
30 |
30 |
$0.00 |
| 96161 |
|
17 |
15 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 96160 |
|
92 |
70 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |