| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,191 |
5,638 |
$519K |
| S5190 |
Wellness assessment, performed by non-physician |
24 |
18 |
$92.03 |
| 90648 |
|
603 |
418 |
$89.60 |
| 90670 |
|
620 |
432 |
$70.40 |
| 90723 |
|
320 |
225 |
$64.00 |
| 90685 |
|
23 |
17 |
$19.20 |
| 90686 |
|
54 |
46 |
$12.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
693 |
565 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
43 |
29 |
$0.00 |
| 90633 |
|
63 |
60 |
$0.00 |
| 80305 |
|
461 |
106 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,184 |
904 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
42 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
53 |
$0.00 |
| 90681 |
|
25 |
25 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,167 |
1,437 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
317 |
$0.00 |