| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,728 |
17,301 |
$3.81M |
| H2020 |
Therapeutic behavioral services, per diem |
3,086 |
2,116 |
$452K |
| 3044F |
|
3,872 |
3,040 |
$400.00 |
| 99460 |
|
153 |
40 |
$46.97 |
| 1036F |
|
1,465 |
831 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,810 |
1,729 |
$0.00 |
| 3075F |
|
2,174 |
1,636 |
$0.00 |
| 3074F |
|
11,043 |
8,096 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,834 |
6,624 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,224 |
8,429 |
$0.00 |
| 3008F |
|
15,801 |
11,115 |
$0.00 |
| 3079F |
|
4,885 |
3,657 |
$0.00 |
| 4010F |
|
2,699 |
1,995 |
$0.00 |
| 1031F |
|
1,121 |
572 |
$0.00 |
| 1034F |
|
966 |
481 |
$0.00 |
| 90656 |
|
121 |
89 |
$0.00 |
| 90686 |
|
209 |
146 |
$0.00 |
| 1126F |
|
488 |
310 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
471 |
368 |
$0.00 |
| 90647 |
|
88 |
37 |
$0.00 |
| 3066F |
|
149 |
121 |
$0.00 |
| 90723 |
|
58 |
20 |
$0.00 |
| 85018 |
|
20 |
12 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |
| 90677 |
|
65 |
52 |
$0.00 |
| 90474 |
|
38 |
18 |
$0.00 |
| 1159F |
|
21,207 |
15,661 |
$0.00 |
| 1160F |
|
16,697 |
12,312 |
$0.00 |
| 3078F |
|
9,025 |
6,684 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
347 |
269 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,042 |
690 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
81 |
$0.00 |
| 90670 |
|
155 |
71 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,269 |
794 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
741 |
528 |
$0.00 |
| 3725F |
|
2,383 |
1,288 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
608 |
209 |
$0.00 |
| 90633 |
|
590 |
307 |
$0.00 |
| 90648 |
|
170 |
117 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
72 |
53 |
$0.00 |
| 3288F |
|
77 |
41 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
112 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
122 |
$0.00 |
| 4025F |
|
16 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
105 |
$0.00 |
| 90681 |
|
38 |
18 |
$0.00 |
| 90671 |
|
260 |
199 |
$0.00 |
| 87400 |
|
125 |
52 |
$0.00 |
| 1100F |
|
43 |
27 |
$0.00 |
| 80305 |
|
18 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
31 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
198 |
51 |
$0.00 |
| 30086 |
|
19 |
13 |
$0.00 |