| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
108,789 |
70,655 |
$13.64M |
| H2020 |
Therapeutic behavioral services, per diem |
2,387 |
1,027 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,520 |
40,229 |
$634.31 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27 |
14 |
$591.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,272 |
23,264 |
$544.78 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,376 |
10,659 |
$182.42 |
| 87430 |
|
10,744 |
7,488 |
$107.52 |
| 90756 |
|
358 |
345 |
$91.16 |
| 81025 |
|
4,794 |
3,719 |
$75.85 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,684 |
1,808 |
$63.04 |
| 81003 |
|
17,511 |
10,865 |
$61.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,868 |
1,531 |
$57.03 |
| 99215 |
Prolong outpt/office vis |
1,725 |
1,298 |
$42.80 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,516 |
1,872 |
$41.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
901 |
630 |
$3.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
74 |
$1.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,380 |
1,731 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,640 |
847 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
318 |
259 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,135 |
790 |
$0.00 |
| 90670 |
|
796 |
571 |
$0.00 |
| 90461 |
|
904 |
457 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
130 |
85 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
560 |
432 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
361 |
219 |
$0.00 |
| 99173 |
|
877 |
723 |
$0.00 |
| 90633 |
|
391 |
254 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
214 |
134 |
$0.00 |
| 90661 |
|
16 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
178 |
102 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
177 |
129 |
$0.00 |
| 81002 |
|
389 |
207 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
224 |
173 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
33 |
25 |
$0.00 |
| 99442 |
|
122 |
81 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
28 |
$0.00 |
| 90671 |
|
18 |
14 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
467 |
353 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,759 |
1,104 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,027 |
739 |
$0.00 |
| 86308 |
|
371 |
347 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
1,520 |
1,032 |
$0.00 |
| 3008F |
|
1,192 |
766 |
$0.00 |
| 90698 |
|
373 |
257 |
$0.00 |
| 92551 |
|
674 |
582 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
418 |
336 |
$0.00 |
| 00000 |
|
392 |
320 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
392 |
252 |
$0.00 |
| 99172 |
|
167 |
80 |
$0.00 |
| 81000 |
|
228 |
196 |
$0.00 |
| 90651 |
|
83 |
46 |
$0.00 |
| 99441 |
|
301 |
180 |
$0.00 |
| 99381 |
|
61 |
40 |
$0.00 |
| 90686 |
|
286 |
184 |
$0.00 |
| 90744 |
|
184 |
128 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
83 |
$0.00 |
| 90688 |
|
85 |
78 |
$0.00 |
| 87807 |
|
62 |
31 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
18 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |