| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,913 |
10,483 |
$2.05M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,573 |
3,444 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,914 |
7,960 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
591 |
427 |
$758.25 |
| 92552 |
|
141 |
136 |
$521.79 |
| 36415 |
Collection of venous blood by venipuncture |
2,715 |
2,362 |
$423.00 |
| 99000 |
|
3,630 |
2,924 |
$420.03 |
| 90686 |
|
324 |
283 |
$255.86 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
64 |
$189.70 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$130.23 |
| 90715 |
|
17 |
13 |
$108.45 |
| 90791 |
Psychiatric diagnostic evaluation |
40 |
39 |
$75.00 |
| 90656 |
|
27 |
22 |
$71.97 |
| 81025 |
|
314 |
278 |
$52.63 |
| 85018 |
|
262 |
232 |
$43.05 |
| 94760 |
|
344 |
292 |
$33.18 |
| 82948 |
|
785 |
643 |
$21.44 |
| 81003 |
|
156 |
150 |
$17.46 |
| 83037 |
|
58 |
44 |
$3.28 |
| 99173 |
|
771 |
721 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
90 |
$0.00 |
| 3078F |
|
371 |
353 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
37 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
46 |
$0.00 |
| 3077F |
|
55 |
52 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
38 |
$0.00 |
| 3075F |
|
105 |
102 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
87 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
484 |
382 |
$0.00 |
| 3074F |
|
294 |
285 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
109 |
107 |
$0.00 |
| 3079F |
|
105 |
102 |
$0.00 |
| 96127 |
|
20 |
15 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$0.00 |