| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,765 |
4,028 |
$475K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,288 |
3,117 |
$75K |
| H2020 |
Therapeutic behavioral services, per diem |
878 |
230 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
624 |
471 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,824 |
2,338 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
98 |
36 |
$780.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
64 |
$429.73 |
| 36415 |
Collection of venous blood by venipuncture |
549 |
330 |
$413.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
44 |
$308.70 |
| 92551 |
|
407 |
178 |
$281.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
335 |
127 |
$142.50 |
| 81002 |
|
578 |
272 |
$109.62 |
| 99173 |
|
411 |
178 |
$64.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
12 |
$54.78 |
| 85018 |
|
179 |
54 |
$52.92 |
| 83655 |
|
83 |
25 |
$28.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
88 |
43 |
$7.22 |
| 99000 |
|
377 |
269 |
$0.00 |
| 3008F |
|
83 |
39 |
$0.00 |
| 3074F |
|
17 |
13 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
625 |
159 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
41 |
17 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
43 |
37 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
12 |
$0.00 |
| 3078F |
|
18 |
14 |
$0.00 |