| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,777 |
8,172 |
$1.31M |
| H2020 |
Therapeutic behavioral services, per diem |
10,692 |
3,958 |
$574K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,194 |
10,567 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,903 |
2,909 |
$27K |
| 90756 |
|
309 |
213 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
427 |
284 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99406 |
|
8,187 |
3,696 |
$424.71 |
| 90834 |
Psychotherapy, 45 minutes with patient |
25 |
12 |
$369.28 |
| 3078F |
|
6,637 |
3,803 |
$205.00 |
| 3074F |
|
8,223 |
4,689 |
$180.00 |
| 3075F |
|
2,028 |
1,135 |
$45.00 |
| 3079F |
|
3,825 |
2,304 |
$20.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
13 |
$12.36 |
| 86803 |
|
225 |
198 |
$0.00 |
| 1036F |
|
1,218 |
497 |
$0.00 |
| 3008F |
|
2,320 |
1,151 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
343 |
181 |
$0.00 |
| 1034F |
|
1,713 |
752 |
$0.00 |
| 3044F |
|
33 |
30 |
$0.00 |
| 1126F |
|
2,799 |
1,223 |
$0.00 |
| 3503F |
|
217 |
111 |
$0.00 |
| 3080F |
|
318 |
190 |
$0.00 |
| 3011F |
|
157 |
86 |
$0.00 |
| 1000F |
|
2,964 |
1,281 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
12 |
$0.00 |
| 0134A |
|
33 |
14 |
$0.00 |
| 00000 |
|
14 |
12 |
$0.00 |
| 4037F |
|
31 |
27 |
$0.00 |
| 86592 |
|
19 |
19 |
$0.00 |
| 91301 |
|
104 |
32 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
19 |
19 |
$0.00 |
| 3502F |
|
1,578 |
688 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
10,219 |
5,471 |
$0.00 |
| 1159F |
|
3,179 |
1,413 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
8,026 |
3,625 |
$0.00 |
| 3077F |
|
724 |
422 |
$0.00 |
| 87806 |
|
227 |
200 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
18 |
18 |
$0.00 |
| 1160F |
|
44 |
43 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
437 |
184 |
$0.00 |
| 4270F |
|
1,915 |
857 |
$0.00 |
| 0575F |
|
2,449 |
1,115 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
134 |
45 |
$0.00 |
| 2014F |
|
23 |
15 |
$0.00 |
| 80305 |
|
173 |
94 |
$0.00 |
| 3085F |
|
25 |
15 |
$0.00 |
| 4271F |
|
28 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
14 |
$0.00 |
| 90611 |
|
26 |
17 |
$0.00 |
| 91313 |
|
33 |
14 |
$0.00 |