| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,995 |
25,771 |
$2.79M |
| H2020 |
Therapeutic behavioral services, per diem |
4,710 |
1,384 |
$230K |
| 98960 |
|
2,295 |
529 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,742 |
15,938 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,247 |
2,913 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
100 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,796 |
1,906 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,540 |
3,053 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,153 |
2,178 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,453 |
1,031 |
$925.08 |
| 99381 |
|
131 |
64 |
$762.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
234 |
$746.20 |
| 92551 |
|
1,568 |
942 |
$264.64 |
| 81003 |
|
823 |
339 |
$67.20 |
| 85018 |
|
376 |
200 |
$66.08 |
| 99173 |
|
1,786 |
1,023 |
$49.19 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
89 |
39 |
$10.00 |
| 36416 |
|
393 |
200 |
$5.09 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,899 |
2,618 |
$0.00 |
| 90744 |
|
409 |
264 |
$0.00 |
| 90716 |
|
23 |
12 |
$0.00 |
| 90680 |
|
747 |
492 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
101 |
34 |
$0.00 |
| 90677 |
|
176 |
118 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
741 |
213 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,361 |
465 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
552 |
309 |
$0.00 |
| 90698 |
|
1,173 |
806 |
$0.00 |
| 96127 |
|
329 |
184 |
$0.00 |
| 90686 |
|
86 |
37 |
$0.00 |
| 90743 |
|
14 |
12 |
$0.00 |
| 99385 |
|
45 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,522 |
1,208 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
53 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90670 |
|
1,354 |
923 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
455 |
306 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
38 |
32 |
$0.00 |
| 90633 |
|
264 |
177 |
$0.00 |
| 96160 |
|
190 |
115 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
424 |
137 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,338 |
638 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
105 |
85 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
112 |
$0.00 |
| 90461 |
|
67 |
27 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90473 |
|
145 |
30 |
$0.00 |
| 90734 |
|
26 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
18 |
$0.00 |