| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
48,273 |
37,050 |
$4.84M |
| H2020 |
Therapeutic behavioral services, per diem |
2,851 |
2,033 |
$207K |
| 3074F |
|
14,811 |
12,483 |
$955.00 |
| 3078F |
|
13,633 |
11,461 |
$875.00 |
| 0011A |
|
122 |
30 |
$558.78 |
| 3079F |
|
4,088 |
3,631 |
$495.00 |
| 3075F |
|
2,748 |
2,383 |
$370.00 |
| 0012A |
|
106 |
25 |
$124.16 |
| 3077F |
|
285 |
257 |
$50.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,729 |
16,003 |
$35.22 |
| 3080F |
|
128 |
108 |
$15.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
393 |
318 |
$10.50 |
| 1034F |
|
5,543 |
4,608 |
$0.00 |
| 1036F |
|
11,170 |
9,227 |
$0.00 |
| 3008F |
|
23,747 |
19,656 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,166 |
15,791 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,895 |
1,537 |
$0.00 |
| 1126F |
|
3,402 |
2,944 |
$0.00 |
| 1031F |
|
6,146 |
4,946 |
$0.00 |
| 1111F |
|
326 |
298 |
$0.00 |
| 1125F |
|
390 |
349 |
$0.00 |
| 90698 |
|
356 |
309 |
$0.00 |
| 90686 |
|
267 |
188 |
$0.00 |
| 92551 |
|
795 |
702 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
218 |
188 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
521 |
316 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
45 |
$0.00 |
| 90744 |
|
74 |
64 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
106 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
24 |
$0.00 |
| 90680 |
|
268 |
245 |
$0.00 |
| 85018 |
|
93 |
37 |
$0.00 |
| 90474 |
|
151 |
133 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 91301 |
|
350 |
87 |
$0.00 |
| 90647 |
|
28 |
26 |
$0.00 |
| 4010F |
|
88 |
78 |
$0.00 |
| 4008F |
|
26 |
25 |
$0.00 |
| 90670 |
|
718 |
613 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,499 |
1,231 |
$0.00 |
| 3725F |
|
11,860 |
9,983 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,206 |
728 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
544 |
441 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
872 |
759 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
592 |
527 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
837 |
704 |
$0.00 |
| 99173 |
|
804 |
696 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
467 |
149 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
262 |
213 |
$0.00 |
| 30746 |
|
80 |
77 |
$0.00 |
| 1100F |
|
577 |
475 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,306 |
1,137 |
$0.00 |
| 4013F |
|
606 |
563 |
$0.00 |
| 30086 |
|
322 |
285 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
134 |
118 |
$0.00 |
| 81003 |
|
261 |
201 |
$0.00 |
| 3288F |
|
781 |
657 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
143 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
654 |
609 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$0.00 |
| 4001F |
|
96 |
87 |
$0.00 |
| 4025F |
|
174 |
158 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
52 |
$0.00 |
| 30786 |
|
95 |
87 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
172 |
$0.00 |
| 90633 |
|
32 |
25 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 81002 |
|
16 |
13 |
$0.00 |