| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,718 |
10,833 |
$1.18M |
| H2020 |
Therapeutic behavioral services, per diem |
153 |
59 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,088 |
7,193 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,775 |
2,768 |
$811.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
63 |
$231.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
57 |
$131.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
41 |
$99.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,291 |
843 |
$72.00 |
| 80305 |
|
96 |
66 |
$62.86 |
| 81025 |
|
86 |
55 |
$20.20 |
| 36415 |
Collection of venous blood by venipuncture |
2,346 |
1,716 |
$15.48 |
| 81002 |
|
387 |
246 |
$14.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
230 |
171 |
$2.40 |
| 1159F |
|
61 |
48 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
14 |
$0.00 |
| 1160F |
|
60 |
47 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
155 |
59 |
$0.00 |
| 3078F |
|
14 |
12 |
$0.00 |
| 88738 |
|
1,140 |
694 |
$0.00 |
| 99441 |
|
60 |
54 |
$0.00 |
| 91301 |
|
24 |
13 |
$0.00 |
| 3008F |
|
86 |
68 |
$0.00 |
| 3079F |
|
25 |
19 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
81 |
55 |
$0.00 |
| 3074F |
|
27 |
23 |
$0.00 |