| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,580 |
9,051 |
$1.58M |
| H2020 |
Therapeutic behavioral services, per diem |
1,027 |
817 |
$153K |
| 99222 |
Initial hospital care, per day, moderate complexity |
883 |
695 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,604 |
6,419 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
484 |
373 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,186 |
2,833 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,947 |
1,575 |
$3K |
| 90686 |
|
411 |
336 |
$947.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
364 |
287 |
$734.12 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
34 |
$578.20 |
| 86580 |
|
15 |
15 |
$69.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
173 |
$60.00 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
47 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
25 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
78 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
33 |
33 |
$0.00 |
| 82962 |
|
637 |
514 |
$0.00 |
| 94760 |
|
738 |
626 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
71 |
60 |
$0.00 |
| 90656 |
|
16 |
14 |
$0.00 |
| 00000 |
|
126 |
116 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
139 |
127 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
114 |
71 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
53 |
50 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
15 |
$0.00 |