| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
76,377 |
59,334 |
$17.39M |
| H2020 |
Therapeutic behavioral services, per diem |
11,316 |
6,077 |
$2.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,031 |
40,743 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,016 |
15,663 |
$470.30 |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,098 |
1,292 |
$108.74 |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,122 |
3,540 |
$47.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
794 |
646 |
$6.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,141 |
888 |
$5.95 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
491 |
361 |
$1.28 |
| 90461 |
|
1,338 |
1,058 |
$0.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,442 |
1,119 |
$0.41 |
| J3490 |
Unclassified drugs |
738 |
569 |
$0.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,481 |
2,145 |
$0.03 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
122 |
100 |
$0.03 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
480 |
425 |
$0.02 |
| 99441 |
|
60 |
23 |
$0.01 |
| 11056 |
|
174 |
163 |
$0.00 |
| 99173 |
|
575 |
511 |
$0.00 |
| 11721 |
|
1,695 |
1,541 |
$0.00 |
| 90670 |
|
846 |
657 |
$0.00 |
| 99442 |
|
120 |
58 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
71 |
$0.00 |
| 90633 |
|
282 |
250 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
542 |
395 |
$0.00 |
| 90648 |
|
622 |
493 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,579 |
1,344 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
882 |
747 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
821 |
548 |
$0.00 |
| 81003 |
|
642 |
477 |
$0.00 |
| 90658 |
|
43 |
37 |
$0.00 |
| 90710 |
|
199 |
174 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
205 |
140 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
192 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
174 |
135 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
183 |
129 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
14 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
140 |
117 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
78 |
48 |
$0.00 |
| 81002 |
|
63 |
55 |
$0.00 |
| 90715 |
|
49 |
37 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 98929 |
|
23 |
12 |
$0.00 |
| 80305 |
|
26 |
24 |
$0.00 |
| 87481 |
|
14 |
13 |
$0.00 |
| 81025 |
|
19 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
15 |
$0.00 |
| 90785 |
|
32 |
22 |
$0.00 |
| 92551 |
|
809 |
704 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
476 |
328 |
$0.00 |
| 90723 |
|
365 |
290 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
14 |
$0.00 |
| 81000 |
|
488 |
420 |
$0.00 |
| 90680 |
|
441 |
330 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,016 |
504 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
486 |
437 |
$0.00 |
| 00000 |
|
193 |
133 |
$0.00 |
| 90651 |
|
88 |
73 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
57 |
43 |
$0.00 |
| 90733 |
|
134 |
102 |
$0.00 |
| 90686 |
|
64 |
62 |
$0.00 |
| 90620 |
|
41 |
40 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
21 |
21 |
$0.00 |
| 99381 |
|
43 |
43 |
$0.00 |
| 3079F |
|
65 |
63 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| 3075F |
|
37 |
37 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
29 |
28 |
$0.00 |
| 90696 |
|
57 |
47 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 90657 |
|
24 |
16 |
$0.00 |
| 99407 |
|
52 |
12 |
$0.00 |