| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,542 |
7,846 |
$1.88M |
| 90834 |
Psychotherapy, 45 minutes with patient |
631 |
251 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,148 |
3,430 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,995 |
1,593 |
$4K |
| G9920 |
Screening performed and negative |
594 |
563 |
$3K |
| 90686 |
|
519 |
395 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
471 |
305 |
$849.85 |
| 96160 |
|
1,180 |
1,009 |
$840.84 |
| 87428 |
|
22 |
12 |
$699.49 |
| 92551 |
|
1,750 |
1,543 |
$470.89 |
| 90670 |
|
52 |
47 |
$423.00 |
| 90723 |
|
43 |
38 |
$342.00 |
| 90633 |
|
21 |
19 |
$171.00 |
| 90656 |
|
38 |
27 |
$153.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
75 |
71 |
$149.56 |
| 90734 |
|
29 |
25 |
$144.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
34 |
$138.76 |
| 90647 |
|
18 |
13 |
$117.00 |
| 90619 |
|
27 |
15 |
$108.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
53 |
$87.70 |
| 90649 |
|
20 |
16 |
$45.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
80 |
$31.22 |
| 2010F |
|
1,152 |
1,104 |
$0.00 |
| 1036F |
|
624 |
606 |
$0.00 |
| 2001F |
|
1,125 |
1,080 |
$0.00 |
| 3351F |
|
275 |
274 |
$0.00 |
| 2000F |
|
1,132 |
1,086 |
$0.00 |
| 99000 |
|
64 |
27 |
$0.00 |
| 3074F |
|
948 |
912 |
$0.00 |
| 3008F |
|
1,119 |
1,075 |
$0.00 |
| 88738 |
|
48 |
48 |
$0.00 |
| 4037F |
|
15 |
15 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 1160F |
|
959 |
908 |
$0.00 |
| 1159F |
|
959 |
908 |
$0.00 |
| 92081 |
|
829 |
828 |
$0.00 |
| 3078F |
|
875 |
842 |
$0.00 |
| 4274F |
|
419 |
376 |
$0.00 |
| 99173 |
|
371 |
371 |
$0.00 |