| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,617 |
11,404 |
$1.53M |
| H2020 |
Therapeutic behavioral services, per diem |
362 |
252 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,324 |
9,435 |
$283.38 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
504 |
445 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
717 |
595 |
$0.00 |
| 81002 |
|
175 |
155 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,141 |
966 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
514 |
401 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
262 |
236 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
17 |
$0.00 |
| 87400 |
|
168 |
60 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
256 |
222 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
30 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
78 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$0.00 |
| 81025 |
|
17 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
400 |
330 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
558 |
455 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,636 |
2,222 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
54 |
49 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
33 |
$0.00 |