| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,303 |
12,860 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,112 |
8,088 |
$414K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,324 |
4,053 |
$137K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,430 |
694 |
$53K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
695 |
422 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,851 |
1,252 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
590 |
123 |
$17K |
| 99215 |
Prolong outpt/office vis |
242 |
133 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
308 |
129 |
$9K |
| 90686 |
|
410 |
237 |
$5K |
| 91320 |
|
58 |
33 |
$4K |
| 90750 |
|
17 |
14 |
$2K |
| 90480 |
|
56 |
33 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
26 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
159 |
97 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
14 |
$880.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
63 |
$703.00 |
| 90674 |
|
43 |
27 |
$628.74 |
| 90656 |
|
33 |
33 |
$602.80 |
| 90658 |
|
82 |
52 |
$477.94 |
| 90661 |
|
84 |
55 |
$17.83 |
| 3008F |
|
10,056 |
6,013 |
$0.00 |
| 3079F |
|
1,155 |
844 |
$0.00 |
| 3074F |
|
5,818 |
4,583 |
$0.00 |
| 1036F |
|
1,429 |
992 |
$0.00 |
| 1034F |
|
395 |
275 |
$0.00 |
| 3075F |
|
123 |
72 |
$0.00 |
| 3078F |
|
4,907 |
3,828 |
$0.00 |