| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,871 |
3,482 |
$628K |
| H2020 |
Therapeutic behavioral services, per diem |
3,386 |
1,603 |
$420K |
| 1125F |
|
1,147 |
893 |
$0.00 |
| 1036F |
|
2,620 |
1,634 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,617 |
1,973 |
$0.00 |
| 1111F |
|
2,270 |
1,679 |
$0.00 |
| 96127 |
|
4,555 |
1,837 |
$0.00 |
| 3075F |
|
175 |
154 |
$0.00 |
| 90656 |
|
46 |
28 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
723 |
506 |
$0.00 |
| 3074F |
|
3,751 |
2,745 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,358 |
1,033 |
$0.00 |
| 92551 |
|
31 |
30 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
139 |
105 |
$0.00 |
| 3008F |
|
2,065 |
1,517 |
$0.00 |
| 90619 |
|
82 |
52 |
$0.00 |
| 1126F |
|
598 |
492 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
81 |
$0.00 |
| 87276 |
|
125 |
90 |
$0.00 |
| 3079F |
|
177 |
144 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
243 |
181 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
17 |
$0.00 |
| 3044F |
|
42 |
24 |
$0.00 |
| 90651 |
|
25 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39 |
16 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,372 |
1,784 |
$0.00 |
| 3078F |
|
3,787 |
2,803 |
$0.00 |
| 1159F |
|
3,479 |
2,588 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
503 |
353 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,794 |
1,406 |
$0.00 |
| 96160 |
|
1,517 |
1,187 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
42 |
$0.00 |
| 1160F |
|
3,625 |
2,698 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
413 |
280 |
$0.00 |
| 3725F |
|
836 |
688 |
$0.00 |
| 90715 |
|
54 |
29 |
$0.00 |
| 87275 |
|
125 |
90 |
$0.00 |
| 99173 |
|
54 |
43 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
205 |
128 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
119 |
55 |
$0.00 |
| 81003 |
|
22 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
21 |
$0.00 |