| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,253 |
6,869 |
$1.31M |
| H2020 |
Therapeutic behavioral services, per diem |
3,400 |
1,387 |
$326K |
| D0999 |
Unspecified diagnostic procedure, by report |
259 |
143 |
$24K |
| 3074F |
|
6,416 |
3,775 |
$530.00 |
| 3078F |
|
6,355 |
3,752 |
$375.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
98 |
$0.01 |
| 90834 |
Psychotherapy, 45 minutes with patient |
844 |
387 |
$0.00 |
| 92551 |
|
368 |
303 |
$0.00 |
| 99174 |
|
30 |
28 |
$0.00 |
| 96127 |
|
2,668 |
1,381 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
451 |
268 |
$0.00 |
| 1036F |
|
1,033 |
660 |
$0.00 |
| 3008F |
|
1,981 |
1,203 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,313 |
2,338 |
$0.00 |
| A9150 |
Non-prescription drugs |
704 |
452 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,831 |
2,409 |
$0.00 |
| 1111F |
|
1,648 |
724 |
$0.00 |
| 97010 |
|
209 |
163 |
$0.00 |
| 87276 |
|
45 |
39 |
$0.00 |
| 1125F |
|
30 |
26 |
$0.00 |
| 1126F |
|
43 |
41 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
72 |
33 |
$0.00 |
| 90686 |
|
205 |
159 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
24 |
$0.00 |
| 90657 |
|
33 |
31 |
$0.00 |
| 3044F |
|
32 |
26 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
28 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
38 |
23 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 1159F |
|
8,044 |
4,417 |
$0.00 |
| 1160F |
|
8,155 |
4,488 |
$0.00 |
| 96160 |
|
4,206 |
2,217 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,105 |
979 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,985 |
840 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
584 |
364 |
$0.00 |
| 99177 |
|
30 |
28 |
$0.00 |
| 3725F |
|
590 |
408 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
545 |
455 |
$0.00 |
| 99173 |
|
487 |
399 |
$0.00 |
| 99408 |
|
918 |
319 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
839 |
264 |
$0.00 |
| 81003 |
|
54 |
33 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
18 |
$0.00 |
| 0002A |
|
16 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
66 |
38 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$0.00 |
| 87275 |
|
87 |
64 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
26 |
$0.00 |
| 0521F |
|
81 |
59 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
65 |
49 |
$0.00 |
| 91300 |
|
17 |
14 |
$0.00 |