| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,664 |
18,067 |
$2.63M |
| H2020 |
Therapeutic behavioral services, per diem |
6,354 |
4,766 |
$908K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,355 |
16,477 |
$62.97 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,590 |
2,671 |
$50.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,060 |
1,545 |
$0.00 |
| 20610 |
|
641 |
476 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
555 |
424 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
295 |
227 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,434 |
674 |
$0.00 |
| 99024 |
|
244 |
217 |
$0.00 |
| 94760 |
|
16 |
14 |
$0.00 |
| 94762 |
|
17 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
246 |
205 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
117 |
91 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
628 |
486 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
27 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
139 |
65 |
$0.00 |
| 81025 |
|
18 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$0.00 |