| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,519 |
32,318 |
$4.67M |
| H2020 |
Therapeutic behavioral services, per diem |
1,265 |
594 |
$71K |
| 3044F |
|
2,053 |
1,589 |
$310.00 |
| 3079F |
|
239 |
181 |
$20.00 |
| 3051F |
|
14 |
12 |
$20.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,326 |
8,053 |
$12.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,092 |
21,301 |
$12.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,513 |
3,820 |
$2.00 |
| 96160 |
|
1,303 |
890 |
$1.58 |
| 36415 |
Collection of venous blood by venipuncture |
4,252 |
3,602 |
$0.00 |
| 82962 |
|
5,611 |
3,508 |
$0.00 |
| 3074F |
|
194 |
148 |
$0.00 |
| 1126F |
|
1,177 |
917 |
$0.00 |
| 1170F |
|
1,176 |
912 |
$0.00 |
| 99385 |
|
139 |
117 |
$0.00 |
| 3049F |
|
452 |
335 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
646 |
471 |
$0.00 |
| 3048F |
|
1,057 |
778 |
$0.00 |
| 3008F |
|
602 |
405 |
$0.00 |
| 1111F |
|
94 |
53 |
$0.00 |
| 3080F |
|
45 |
41 |
$0.00 |
| 90686 |
|
91 |
52 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$0.00 |
| 4010F |
|
23 |
16 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
746 |
365 |
$0.00 |
| 3061F |
|
15 |
12 |
$0.00 |
| 85018 |
|
43 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
93 |
13 |
$0.00 |
| 3075F |
|
31 |
27 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
598 |
471 |
$0.00 |
| 3050F |
|
227 |
186 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,218 |
1,959 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,549 |
1,314 |
$0.00 |
| 3077F |
|
77 |
70 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
302 |
234 |
$0.00 |
| 81002 |
|
105 |
86 |
$0.00 |
| 81003 |
|
798 |
482 |
$0.00 |
| 3078F |
|
112 |
97 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,222 |
1,078 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
17 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
212 |
163 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
236 |
169 |
$0.00 |
| 1158F |
|
96 |
56 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$0.00 |
| 90648 |
|
14 |
12 |
$0.00 |
| 86328 |
|
308 |
145 |
$0.00 |
| 1159F |
|
129 |
74 |
$0.00 |
| 99201 |
|
103 |
86 |
$0.00 |
| 81025 |
|
52 |
27 |
$0.00 |
| 1160F |
|
102 |
58 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
13 |
$0.00 |