| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,682 |
7,104 |
$758K |
| H2020 |
Therapeutic behavioral services, per diem |
687 |
228 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,856 |
3,928 |
$112.77 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,656 |
1,773 |
$49.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
895 |
616 |
$49.74 |
| 3077F |
|
975 |
703 |
$0.00 |
| 3078F |
|
3,024 |
2,150 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
35 |
$0.00 |
| 1160F |
|
402 |
255 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
152 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
155 |
125 |
$0.00 |
| 1159F |
|
402 |
255 |
$0.00 |
| 11721 |
|
14 |
13 |
$0.00 |
| 99307 |
|
35 |
33 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$0.00 |
| 99173 |
|
13 |
12 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 3074F |
|
3,853 |
2,693 |
$0.00 |
| 1126F |
|
1,293 |
984 |
$0.00 |
| 00000 |
|
518 |
298 |
$0.00 |
| 3079F |
|
1,579 |
1,194 |
$0.00 |
| 1036F |
|
2,487 |
1,695 |
$0.00 |
| 3080F |
|
843 |
605 |
$0.00 |
| 3008F |
|
6,172 |
4,205 |
$0.00 |
| 3075F |
|
690 |
543 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,478 |
780 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
222 |
164 |
$0.00 |
| 1125F |
|
192 |
148 |
$0.00 |
| 90677 |
|
28 |
25 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
15 |
$0.00 |
| 92551 |
|
20 |
18 |
$0.00 |