| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,731 |
21,713 |
$3.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,691 |
4,812 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,485 |
9,011 |
$17K |
| 90670 |
|
1,163 |
677 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,045 |
1,181 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
271 |
231 |
$4K |
| 90734 |
|
422 |
288 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,325 |
910 |
$3K |
| 90723 |
|
875 |
485 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,548 |
950 |
$3K |
| 90651 |
|
321 |
219 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
161 |
144 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,268 |
861 |
$2K |
| 90648 |
|
1,301 |
748 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
84 |
$1K |
| 90686 |
|
874 |
594 |
$1K |
| 90633 |
|
737 |
379 |
$1K |
| 90715 |
|
289 |
166 |
$628.31 |
| 0011A |
|
14 |
14 |
$418.56 |
| 99383 |
|
16 |
14 |
$289.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
767 |
545 |
$253.86 |
| 90716 |
|
83 |
48 |
$244.50 |
| Q3014 |
Telehealth originating site facility fee |
16 |
13 |
$150.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,736 |
834 |
$128.61 |
| 90696 |
|
171 |
108 |
$110.73 |
| 90707 |
|
66 |
27 |
$89.60 |
| 90700 |
|
37 |
12 |
$73.64 |
| 36415 |
Collection of venous blood by venipuncture |
293 |
261 |
$41.00 |
| 90710 |
|
123 |
88 |
$32.00 |
| 80305 |
|
534 |
421 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
479 |
261 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
499 |
189 |
$0.00 |
| 90681 |
|
80 |
38 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
13 |
$0.00 |
| 99401 |
|
107 |
30 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
66 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
116 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,011 |
362 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
835 |
479 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
13 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
12 |
$0.00 |