| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
108,358 |
74,537 |
$15.33M |
| H2020 |
Therapeutic behavioral services, per diem |
423 |
243 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,816 |
38,805 |
$157.27 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,838 |
9,023 |
$6.37 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,036 |
2,335 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
455 |
348 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
20 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,114 |
3,748 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,184 |
1,373 |
$0.00 |
| 99173 |
|
7,309 |
4,726 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,981 |
4,558 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,355 |
1,974 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
819 |
646 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,055 |
1,653 |
$0.00 |
| 90734 |
|
258 |
215 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,162 |
3,913 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
527 |
411 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,639 |
1,136 |
$0.00 |
| 90670 |
|
635 |
483 |
$0.00 |
| 90710 |
|
211 |
160 |
$0.00 |
| 81025 |
|
364 |
305 |
$0.00 |
| 90700 |
|
126 |
118 |
$0.00 |
| 90685 |
|
17 |
12 |
$0.00 |
| 90715 |
|
26 |
25 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
222 |
190 |
$0.00 |
| 90681 |
|
17 |
14 |
$0.00 |
| 99188 |
|
44 |
27 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$0.00 |
| 92551 |
|
6,780 |
4,346 |
$0.00 |
| 99024 |
|
1,653 |
1,017 |
$0.00 |
| 90680 |
|
450 |
384 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,259 |
6,219 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,483 |
5,061 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
28 |
$0.00 |
| 90619 |
|
17 |
12 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
526 |
374 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14,657 |
12,115 |
$0.00 |
| 90647 |
|
1,035 |
867 |
$0.00 |
| 90723 |
|
571 |
490 |
$0.00 |
| 90474 |
|
426 |
373 |
$0.00 |
| 90620 |
|
139 |
120 |
$0.00 |
| 90634 |
|
567 |
429 |
$0.00 |
| 90697 |
|
321 |
239 |
$0.00 |
| 99385 |
|
164 |
127 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
430 |
234 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
71 |
65 |
$0.00 |
| 99305 |
|
25 |
24 |
$0.00 |
| 90651 |
|
265 |
214 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
36 |
26 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,054 |
717 |
$0.00 |
| 20610 |
|
569 |
373 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$0.00 |
| 59430 |
|
44 |
24 |
$0.00 |
| 99386 |
|
15 |
14 |
$0.00 |
| 90686 |
|
22 |
13 |
$0.00 |