| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,795 |
37,070 |
$7.40M |
| H2020 |
Therapeutic behavioral services, per diem |
6,985 |
3,902 |
$922K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,418 |
21,584 |
$255.71 |
| 36415 |
Collection of venous blood by venipuncture |
2,112 |
1,802 |
$3.24 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,871 |
17,065 |
$0.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,728 |
1,211 |
$0.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,950 |
2,967 |
$0.07 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
932 |
471 |
$0.02 |
| 86318 |
|
1,748 |
1,287 |
$0.02 |
| 81002 |
|
699 |
456 |
$0.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,777 |
1,270 |
$0.02 |
| 81025 |
|
242 |
127 |
$0.01 |
| 92551 |
|
1,627 |
1,524 |
$0.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,460 |
1,023 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,260 |
1,855 |
$0.00 |
| 99307 |
|
4,994 |
1,462 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,060 |
2,356 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
946 |
831 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,039 |
812 |
$0.00 |
| 99173 |
|
1,631 |
1,520 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,101 |
826 |
$0.00 |
| 90658 |
|
137 |
116 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
218 |
157 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
36 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
576 |
463 |
$0.00 |
| 11606 |
|
477 |
377 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
557 |
433 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
22 |
20 |
$0.00 |
| 11706 |
|
477 |
377 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
26 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,403 |
1,086 |
$0.00 |
| 11596 |
|
477 |
377 |
$0.00 |
| 11586 |
|
477 |
377 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
61 |
56 |
$0.00 |
| 11256 |
|
88 |
70 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |