| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,989 |
2,841 |
$311K |
| H2020 |
Therapeutic behavioral services, per diem |
599 |
120 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,161 |
1,945 |
$39.88 |
| 87428 |
|
227 |
120 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
134 |
74 |
$0.00 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
210 |
52 |
$0.00 |
| 96127 |
|
156 |
84 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
164 |
$0.00 |
| 94760 |
|
151 |
89 |
$0.00 |
| 92551 |
|
116 |
65 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
104 |
$0.00 |
| 87807 |
|
26 |
14 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
551 |
105 |
$0.00 |
| 96160 |
|
148 |
93 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
566 |
112 |
$0.00 |
| 99173 |
|
134 |
79 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
140 |
69 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
26 |
$0.00 |
| 81003 |
|
209 |
126 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
24 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
49 |
$0.00 |