| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,238 |
4,001 |
$740K |
| H2020 |
Therapeutic behavioral services, per diem |
580 |
323 |
$95K |
| 1160F |
|
2,729 |
1,929 |
$0.00 |
| 1159F |
|
2,732 |
1,930 |
$0.00 |
| 3078F |
|
3,239 |
2,050 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
195 |
89 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
89 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
42 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
76 |
67 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
171 |
127 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
18 |
$0.00 |
| 3077F |
|
1,013 |
566 |
$0.00 |
| 90461 |
|
111 |
55 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
800 |
494 |
$0.00 |
| 99173 |
|
249 |
163 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
103 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
18 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
57 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
31 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
67 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$0.00 |
| 81025 |
|
15 |
14 |
$0.00 |
| 3074F |
|
3,078 |
1,999 |
$0.00 |
| 4037F |
|
460 |
307 |
$0.00 |
| 1126F |
|
5,628 |
3,452 |
$0.00 |
| 96127 |
|
615 |
430 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,362 |
2,091 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,426 |
886 |
$0.00 |
| 3008F |
|
2,252 |
1,373 |
$0.00 |
| 3080F |
|
617 |
344 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
332 |
256 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
116 |
80 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
101 |
64 |
$0.00 |
| 3079F |
|
230 |
187 |
$0.00 |
| 3075F |
|
95 |
73 |
$0.00 |
| 1125F |
|
37 |
26 |
$0.00 |
| 92551 |
|
245 |
159 |
$0.00 |