| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,879 |
1,971 |
$333K |
| H2020 |
Therapeutic behavioral services, per diem |
62 |
42 |
$6K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
1,009 |
725 |
$51.23 |
| A9150 |
Non-prescription drugs |
1,087 |
690 |
$43.82 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,126 |
828 |
$39.87 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
106 |
79 |
$0.00 |
| 85018 |
|
174 |
161 |
$0.00 |
| 92551 |
|
231 |
224 |
$0.00 |
| 36416 |
|
174 |
161 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
983 |
438 |
$0.00 |
| 99383 |
|
78 |
74 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
25 |
$0.00 |
| 86710 |
|
18 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
34 |
$0.00 |
| T1503 |
Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
15 |
15 |
$0.00 |
| 90686 |
|
49 |
34 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
811 |
555 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
101 |
$0.00 |
| 81002 |
|
137 |
129 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
60 |
41 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
37 |
24 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
15 |
$0.00 |
| 99173 |
|
253 |
229 |
$0.00 |
| 96160 |
|
51 |
35 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
47 |
$0.00 |