| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,247 |
4,278 |
$761K |
| H2020 |
Therapeutic behavioral services, per diem |
2,134 |
1,464 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,422 |
2,595 |
$524.00 |
| 99051 |
|
28 |
26 |
$249.84 |
| 36415 |
Collection of venous blood by venipuncture |
1,343 |
929 |
$187.00 |
| 3074F |
|
4,226 |
3,207 |
$140.00 |
| 3078F |
|
3,550 |
2,754 |
$125.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
584 |
457 |
$88.00 |
| 3079F |
|
1,530 |
1,192 |
$55.00 |
| 3077F |
|
651 |
509 |
$45.00 |
| 3075F |
|
528 |
443 |
$20.00 |
| 3080F |
|
231 |
168 |
$5.00 |
| 2010F |
|
6,671 |
4,916 |
$0.00 |
| 2001F |
|
7,086 |
5,125 |
$0.00 |
| 2000F |
|
6,488 |
4,776 |
$0.00 |
| 1126F |
|
4,601 |
3,496 |
$0.00 |
| 3008F |
|
7,027 |
5,092 |
$0.00 |
| 1125F |
|
1,284 |
1,014 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
521 |
414 |
$0.00 |
| 82962 |
|
58 |
52 |
$0.00 |
| 99406 |
|
33 |
30 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
123 |
80 |
$0.00 |
| 90686 |
|
37 |
34 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 00000 |
|
16 |
13 |
$0.00 |
| 81003 |
|
130 |
84 |
$0.00 |
| 1003F |
|
3,560 |
2,637 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
125 |
$0.00 |
| 1158F |
|
2,134 |
1,690 |
$0.00 |
| 1159F |
|
6,232 |
4,651 |
$0.00 |
| 1160F |
|
5,902 |
4,436 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
643 |
432 |
$0.00 |
| 86703 |
|
365 |
196 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,472 |
1,066 |
$0.00 |
| 3288F |
|
167 |
152 |
$0.00 |
| 3725F |
|
269 |
240 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
26 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
15 |
$0.00 |
| 81025 |
|
15 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
22 |
19 |
$0.00 |