| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Foster care, therapeutic, child; per diem |
4,462 |
4,056 |
$6.72M |
| H0041 |
Foster care, child, non-therapeutic, per diem |
14,968 |
14,240 |
$5.77M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
13,468 |
3,775 |
$2.06M |
| 99215 |
Prolong outpt/office vis |
3,457 |
3,074 |
$689K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,647 |
1,641 |
$472K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,354 |
1,348 |
$409K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,050 |
1,932 |
$264K |
| 99417 |
Prolong home eval add 15m |
1,762 |
1,607 |
$260K |
| 90791 |
Psychiatric diagnostic evaluation |
871 |
748 |
$216K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
559 |
558 |
$185K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
631 |
616 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,313 |
1,234 |
$132K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,773 |
3,595 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,583 |
1,374 |
$103K |
| H0049 |
Alcohol and/or drug screening |
1,509 |
1,504 |
$71K |
| 97803 |
|
364 |
336 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
620 |
588 |
$28K |
| 92551 |
|
2,685 |
2,685 |
$22K |
| 97802 |
|
160 |
157 |
$18K |
| 99383 |
|
27 |
27 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
133 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
432 |
384 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
164 |
162 |
$2K |
| 96127 |
|
32 |
32 |
$2K |
| 87631 |
|
13 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
95 |
$382.92 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
25 |
25 |
$288.53 |
| 99429 |
|
14 |
13 |
$225.00 |
| 86580 |
|
40 |
39 |
$195.20 |
| 81025 |
|
25 |
25 |
$50.50 |
| 81002 |
|
25 |
25 |
$50.44 |
| 90686 |
|
1,207 |
1,160 |
$32.54 |
| 90480 |
|
17 |
13 |
$32.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,450 |
1,440 |
$1.99 |
| 99000 |
|
1,006 |
991 |
$1.20 |
| 90670 |
|
138 |
124 |
$1.19 |
| 90672 |
|
116 |
115 |
$0.99 |
| 99173 |
|
1,791 |
1,788 |
$0.72 |
| 90688 |
|
89 |
89 |
$0.43 |
| 91307 |
|
13 |
12 |
$0.11 |
| 90633 |
|
89 |
87 |
$0.06 |
| 90680 |
|
15 |
15 |
$0.01 |
| 90656 |
|
193 |
193 |
$0.00 |
| 90677 |
|
38 |
38 |
$0.00 |