| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,375 |
4,775 |
$780K |
| H2020 |
Therapeutic behavioral services, per diem |
603 |
328 |
$50K |
| 3079F |
|
208 |
187 |
$65.00 |
| 3074F |
|
902 |
648 |
$55.00 |
| 3077F |
|
114 |
97 |
$55.00 |
| 3078F |
|
750 |
543 |
$35.00 |
| 3080F |
|
44 |
28 |
$15.00 |
| 3075F |
|
37 |
24 |
$15.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,853 |
1,498 |
$0.00 |
| 96127 |
|
365 |
240 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
999 |
848 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,045 |
848 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
382 |
237 |
$0.00 |
| 36416 |
|
229 |
181 |
$0.00 |
| 82962 |
|
14 |
12 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
14 |
12 |
$0.00 |
| 90674 |
|
23 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
51 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
42 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
266 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
12 |
$0.00 |
| 86703 |
|
68 |
30 |
$0.00 |
| 81003 |
|
20 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$0.00 |
| 87495 |
|
14 |
12 |
$0.00 |