| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,503 |
4,928 |
$1.91M |
| H0046 |
Mental health services, not otherwise specified |
8,326 |
3,107 |
$506K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,501 |
8,829 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,412 |
5,945 |
$40K |
| 36415 |
Collection of venous blood by venipuncture |
9,860 |
9,408 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,285 |
2,192 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
775 |
292 |
$13K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
167 |
154 |
$6K |
| 0124A |
|
145 |
142 |
$5K |
| 90656 |
|
415 |
413 |
$4K |
| 99215 |
Prolong outpt/office vis |
337 |
310 |
$4K |
| 90688 |
|
426 |
423 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,305 |
1,217 |
$3K |
| 90480 |
|
293 |
291 |
$2K |
| 0012A |
|
522 |
376 |
$2K |
| 0011A |
|
608 |
393 |
$2K |
| 91320 |
|
109 |
109 |
$1K |
| 96127 |
|
1,309 |
1,273 |
$912.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
103 |
$752.03 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
33 |
$678.28 |
| 3074F |
|
2,698 |
2,592 |
$450.00 |
| 3078F |
|
1,762 |
1,704 |
$390.00 |
| 3079F |
|
1,357 |
1,296 |
$360.00 |
| 90686 |
|
68 |
68 |
$188.35 |
| 3077F |
|
210 |
203 |
$180.00 |
| 3075F |
|
361 |
353 |
$130.00 |
| 80305 |
|
13 |
13 |
$85.86 |
| 3080F |
|
81 |
77 |
$80.00 |
| 3725F |
|
303 |
301 |
$40.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$36.90 |
| 1036F |
|
3,452 |
3,256 |
$0.00 |
| 99000 |
|
2,764 |
2,542 |
$0.00 |
| 3008F |
|
3,420 |
3,253 |
$0.00 |
| 90651 |
|
71 |
68 |
$0.00 |
| 90622 |
|
42 |
42 |
$0.00 |
| 0013A |
|
400 |
400 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
21 |
$0.00 |