| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
13,254 |
8,442 |
$1.73M |
| H2020 |
Therapeutic behavioral services, per diem |
4,137 |
1,923 |
$466K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,323 |
1,831 |
$243.80 |
| 1036F |
|
5,128 |
3,091 |
$188.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,872 |
5,244 |
$62.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,831 |
2,247 |
$43.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,216 |
814 |
$41.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,914 |
1,368 |
$20.17 |
| 81002 |
|
1,937 |
1,465 |
$19.00 |
| 3008F |
|
9,129 |
5,647 |
$0.29 |
| 3074F |
|
3,880 |
2,500 |
$0.00 |
| 92551 |
|
1,063 |
902 |
$0.00 |
| 85018 |
|
1,347 |
938 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,226 |
5,452 |
$0.00 |
| 96127 |
|
9,430 |
5,838 |
$0.00 |
| 1125F |
|
1,624 |
1,144 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
184 |
123 |
$0.00 |
| 90686 |
|
128 |
102 |
$0.00 |
| 1126F |
|
2,385 |
1,688 |
$0.00 |
| 1000F |
|
2,933 |
1,945 |
$0.00 |
| 99000 |
|
1,311 |
903 |
$0.00 |
| 3075F |
|
66 |
57 |
$0.00 |
| 3079F |
|
159 |
124 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
177 |
157 |
$0.00 |
| 96161 |
|
513 |
268 |
$0.00 |
| 90651 |
|
30 |
27 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
86 |
71 |
$0.00 |
| A9150 |
Non-prescription drugs |
65 |
51 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
15 |
$0.00 |
| 99384 |
|
17 |
17 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,525 |
553 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,338 |
1,470 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
670 |
548 |
$0.00 |
| 81025 |
|
60 |
43 |
$0.00 |
| 99173 |
|
1,012 |
824 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
50 |
42 |
$0.00 |
| 96160 |
|
936 |
632 |
$0.00 |
| 99188 |
|
583 |
339 |
$0.00 |
| 1160F |
|
2,582 |
1,662 |
$0.00 |
| 90734 |
|
192 |
155 |
$0.00 |
| 1159F |
|
2,589 |
1,663 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
106 |
$0.00 |
| 3078F |
|
3,726 |
2,398 |
$0.00 |
| 86703 |
|
630 |
350 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
663 |
395 |
$0.00 |
| 99177 |
|
42 |
34 |
$0.00 |
| A9273 |
Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type |
60 |
51 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
95 |
$0.00 |