| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,147 |
5,775 |
$1.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
727 |
669 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
125 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
67 |
40 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
55 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
74 |
49 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
13 |
$695.92 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$188.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$176.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
132 |
$148.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$25.97 |
| 90677 |
|
12 |
12 |
$0.00 |