| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,038 |
5,261 |
$983K |
| H2020 |
Therapeutic behavioral services, per diem |
899 |
522 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,252 |
2,934 |
$190.00 |
| 96160 |
|
1,010 |
724 |
$0.00 |
| 99173 |
|
917 |
714 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,322 |
814 |
$0.00 |
| 1159F |
|
55 |
36 |
$0.00 |
| 3078F |
|
2,122 |
1,439 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,333 |
942 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
362 |
303 |
$0.00 |
| 81003 |
|
332 |
235 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
117 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
28 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
68 |
35 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
135 |
81 |
$0.00 |
| 99401 |
|
72 |
67 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
31 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
50 |
34 |
$0.00 |
| 3008F |
|
359 |
304 |
$0.00 |
| 96127 |
|
1,293 |
894 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
354 |
269 |
$0.00 |
| 85018 |
|
710 |
553 |
$0.00 |
| 3074F |
|
2,175 |
1,476 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
214 |
159 |
$0.00 |
| 92551 |
|
724 |
577 |
$0.00 |
| 90686 |
|
70 |
52 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
93 |
68 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
34 |
30 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
18 |
13 |
$0.00 |
| 99383 |
|
26 |
20 |
$0.00 |
| 97802 |
|
102 |
91 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
52 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| 36416 |
|
143 |
126 |
$0.00 |
| 90651 |
|
20 |
17 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
17 |
13 |
$0.00 |
| 99384 |
|
49 |
26 |
$0.00 |