| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,875 |
35,863 |
$7.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,847 |
25,351 |
$108K |
| 90834 |
Psychotherapy, 45 minutes with patient |
380 |
289 |
$35K |
| 90832 |
Psychotherapy, 30 minutes with patient |
440 |
278 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,450 |
4,275 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
123 |
123 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,689 |
1,617 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
188 |
188 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,121 |
1,100 |
$9K |
| 90686 |
|
1,253 |
1,251 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
561 |
559 |
$9K |
| G9920 |
Screening performed and negative |
199 |
199 |
$7K |
| 99188 |
|
309 |
309 |
$7K |
| 90715 |
|
281 |
279 |
$6K |
| 99385 |
|
87 |
87 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
65 |
54 |
$5K |
| 90381 |
|
42 |
41 |
$5K |
| 59025 |
Fetal non-stress test |
159 |
75 |
$5K |
| 99386 |
|
22 |
22 |
$4K |
| 90732 |
|
42 |
42 |
$3K |
| 99173 |
|
833 |
831 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,012 |
927 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
61 |
52 |
$3K |
| 99381 |
|
49 |
49 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
137 |
136 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
151 |
$2K |
| 96127 |
|
372 |
367 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
58 |
$1K |
| 81002 |
|
334 |
303 |
$995.00 |
| 99401 |
|
35 |
26 |
$958.02 |
| 88720 |
|
102 |
85 |
$535.89 |
| 81025 |
|
67 |
67 |
$245.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
359 |
359 |
$221.00 |
| 92551 |
|
848 |
848 |
$180.48 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
292 |
$141.33 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
218 |
216 |
$138.18 |
| 90677 |
|
185 |
185 |
$71.10 |
| 90697 |
|
122 |
122 |
$50.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
53 |
$35.33 |
| 82948 |
|
12 |
12 |
$32.52 |
| 90620 |
|
81 |
81 |
$20.70 |
| 90696 |
|
26 |
26 |
$10.80 |
| 90710 |
|
35 |
35 |
$10.80 |
| 90619 |
|
107 |
107 |
$9.90 |
| 90716 |
|
45 |
44 |
$9.90 |
| 90681 |
|
29 |
29 |
$9.90 |
| 90651 |
|
141 |
140 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
18 |
$0.00 |
| 3008F |
|
87 |
82 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 1036F |
|
24 |
24 |
$0.00 |
| 90707 |
|
29 |
29 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 3078F |
|
14 |
12 |
$0.00 |