| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,619 |
31,206 |
$8.30M |
| H2020 |
Therapeutic behavioral services, per diem |
1,026 |
373 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,285 |
21,608 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,399 |
4,327 |
$50.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,685 |
4,967 |
$39.80 |
| 1159F |
|
11,377 |
8,109 |
$0.00 |
| 99307 |
|
1,150 |
989 |
$0.00 |
| 1160F |
|
11,367 |
8,107 |
$0.00 |
| 3078F |
|
2,628 |
1,977 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
106 |
83 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
25 |
$0.00 |
| 3077F |
|
516 |
447 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
127 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
60 |
53 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
148 |
101 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
95 |
86 |
$0.00 |
| 3725F |
|
43 |
42 |
$0.00 |
| 99173 |
|
94 |
92 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
96 |
79 |
$0.00 |
| 11721 |
|
70 |
41 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
26 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
39 |
26 |
$0.00 |
| 1036F |
|
2,265 |
1,846 |
$0.00 |
| 1126F |
|
2,109 |
1,775 |
$0.00 |
| 3008F |
|
4,718 |
3,725 |
$0.00 |
| 3074F |
|
3,097 |
2,397 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
123 |
107 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,111 |
1,637 |
$0.00 |
| 1125F |
|
5,375 |
4,095 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,653 |
2,498 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
233 |
106 |
$0.00 |
| 3079F |
|
1,234 |
1,034 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
111 |
96 |
$0.00 |
| 3075F |
|
341 |
299 |
$0.00 |
| J0698 |
Injection, cefotaxime sodium, per gm |
64 |
43 |
$0.00 |
| 00000 |
|
288 |
184 |
$0.00 |
| 96127 |
|
30 |
29 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
155 |
135 |
$0.00 |
| 99304 |
|
62 |
39 |
$0.00 |
| 0011A |
|
39 |
28 |
$0.00 |
| 90688 |
|
122 |
98 |
$0.00 |
| 3080F |
|
204 |
173 |
$0.00 |
| 92551 |
|
93 |
91 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
262 |
215 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
56 |
35 |
$0.00 |
| 99406 |
|
16 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
93 |
66 |
$0.00 |