| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,804 |
20,964 |
$3.29M |
| H2020 |
Therapeutic behavioral services, per diem |
2,247 |
611 |
$109K |
| 3074F |
|
1,101 |
978 |
$5.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,220 |
1,758 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,222 |
1,130 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,444 |
1,262 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,355 |
1,999 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,355 |
1,198 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 99173 |
|
4,525 |
4,031 |
$0.00 |
| 90734 |
|
129 |
123 |
$0.00 |
| 1159F |
|
88 |
83 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,244 |
1,111 |
$0.00 |
| 3725F |
|
256 |
213 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
47 |
12 |
$0.00 |
| 3078F |
|
1,084 |
967 |
$0.00 |
| 90461 |
|
186 |
169 |
$0.00 |
| 0071A |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
32 |
$0.00 |
| 83655 |
|
92 |
75 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
327 |
296 |
$0.00 |
| 90649 |
|
187 |
184 |
$0.00 |
| 1160F |
|
36 |
34 |
$0.00 |
| 90710 |
|
78 |
75 |
$0.00 |
| 90715 |
|
35 |
35 |
$0.00 |
| 90670 |
|
185 |
168 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
398 |
$0.00 |
| 90633 |
|
16 |
15 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,521 |
11,784 |
$0.00 |
| 92551 |
|
4,343 |
3,845 |
$0.00 |
| 3008F |
|
3,058 |
2,742 |
$0.00 |
| 1036F |
|
316 |
146 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
248 |
$0.00 |
| 96127 |
|
1,076 |
812 |
$0.00 |
| 90698 |
|
94 |
88 |
$0.00 |
| 99383 |
|
24 |
21 |
$0.00 |
| 99384 |
|
16 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,994 |
3,386 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,493 |
399 |
$0.00 |
| 85018 |
|
208 |
185 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
87 |
76 |
$0.00 |
| 90634 |
|
157 |
120 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
89 |
85 |
$0.00 |
| 90474 |
|
210 |
166 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
67 |
$0.00 |
| 90744 |
|
42 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
180 |
152 |
$0.00 |
| 90651 |
|
35 |
35 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
567 |
460 |
$0.00 |
| 90686 |
|
418 |
369 |
$0.00 |
| 86769 |
|
12 |
12 |
$0.00 |
| 90619 |
|
40 |
35 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 90680 |
|
20 |
18 |
$0.00 |
| 90688 |
|
19 |
19 |
$0.00 |