| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,437 |
5,772 |
$982K |
| H2020 |
Therapeutic behavioral services, per diem |
1,057 |
366 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,764 |
1,136 |
$87.71 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
961 |
502 |
$71.16 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
270 |
114 |
$70.88 |
| 3074F |
|
6,039 |
3,134 |
$65.00 |
| 3078F |
|
5,113 |
2,784 |
$50.00 |
| 3079F |
|
1,999 |
925 |
$40.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,877 |
2,372 |
$29.91 |
| 3077F |
|
1,061 |
568 |
$20.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,483 |
930 |
$14.70 |
| 3075F |
|
632 |
321 |
$10.00 |
| 3008F |
|
4,956 |
2,511 |
$0.00 |
| 1126F |
|
8,686 |
4,571 |
$0.00 |
| 4037F |
|
1,109 |
586 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
377 |
146 |
$0.00 |
| 3080F |
|
486 |
294 |
$0.00 |
| 1125F |
|
1,721 |
1,000 |
$0.00 |
| 90656 |
|
46 |
42 |
$0.00 |
| 85018 |
|
168 |
59 |
$0.00 |
| 92551 |
|
119 |
74 |
$0.00 |
| 90686 |
|
137 |
100 |
$0.00 |
| 90474 |
|
35 |
29 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
27 |
$0.00 |
| 96127 |
|
99 |
44 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
20 |
15 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
55 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
151 |
$0.00 |
| 90461 |
|
495 |
287 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
357 |
248 |
$0.00 |
| 1159F |
|
3,436 |
2,400 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
98 |
29 |
$0.00 |
| 1160F |
|
3,426 |
2,390 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
777 |
475 |
$0.00 |
| 99173 |
|
135 |
86 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
604 |
352 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
137 |
$0.00 |
| 96160 |
|
110 |
58 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
13 |
$0.00 |