| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,146 |
2,674 |
$291K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,017 |
3,222 |
$61K |
| H2020 |
Therapeutic behavioral services, per diem |
1,250 |
396 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
961 |
459 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
322 |
228 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,598 |
688 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
542 |
253 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
869 |
383 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
771 |
265 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
69 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
622 |
304 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
404 |
137 |
$1K |
| 92551 |
|
158 |
115 |
$967.59 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
32 |
$927.00 |
| 87807 |
|
251 |
129 |
$856.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
136 |
80 |
$512.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
303 |
141 |
$367.50 |
| 85018 |
|
790 |
352 |
$285.39 |
| 81002 |
|
406 |
223 |
$237.89 |
| 99173 |
|
475 |
249 |
$227.78 |
| 92567 |
|
328 |
144 |
$125.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
32 |
$70.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
821 |
277 |
$63.00 |
| 90671 |
|
38 |
18 |
$0.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
28 |
$0.00 |
| 1036F |
|
402 |
149 |
$0.00 |
| 36416 |
|
268 |
131 |
$0.00 |
| 3074F |
|
423 |
188 |
$0.00 |
| 3008F |
|
1,510 |
603 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
15 |
$0.00 |
| 90461 |
|
789 |
198 |
$0.00 |
| 3078F |
|
353 |
158 |
$0.00 |
| 1159F |
|
606 |
261 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
290 |
96 |
$0.00 |
| 1160F |
|
609 |
262 |
$0.00 |
| 90756 |
|
186 |
40 |
$0.00 |