| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
43,151 |
33,049 |
$3.41M |
| H2020 |
Therapeutic behavioral services, per diem |
3,254 |
1,523 |
$213K |
| 99051 |
|
371 |
349 |
$5K |
| 36416 |
|
1,009 |
672 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,955 |
22,739 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,564 |
2,294 |
$0.00 |
| 90680 |
|
946 |
602 |
$0.00 |
| 90677 |
|
142 |
118 |
$0.00 |
| 90647 |
|
1,347 |
797 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,503 |
1,024 |
$0.00 |
| 92551 |
|
576 |
538 |
$0.00 |
| 90723 |
|
1,368 |
856 |
$0.00 |
| 90686 |
|
1,087 |
685 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |
| 96127 |
|
303 |
220 |
$0.00 |
| 90697 |
|
108 |
99 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
46 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
368 |
171 |
$0.00 |
| 90651 |
|
83 |
54 |
$0.00 |
| 90716 |
|
14 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
221 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,713 |
2,364 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,162 |
1,967 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,745 |
979 |
$0.00 |
| 90734 |
|
108 |
55 |
$0.00 |
| 99173 |
|
623 |
579 |
$0.00 |
| 90670 |
|
1,970 |
1,305 |
$0.00 |
| 90633 |
|
661 |
544 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
151 |
80 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
433 |
389 |
$0.00 |
| 99401 |
|
779 |
702 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
952 |
877 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
364 |
326 |
$0.00 |
| 96160 |
|
294 |
229 |
$0.00 |
| 90710 |
|
14 |
12 |
$0.00 |
| 83655 |
|
469 |
294 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
48 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
12 |
$0.00 |
| 90671 |
|
29 |
27 |
$0.00 |
| 90707 |
|
14 |
12 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90681 |
|
74 |
44 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
26 |
20 |
$0.00 |