| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,093 |
3,201 |
$666K |
| H2020 |
Therapeutic behavioral services, per diem |
1,105 |
591 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,884 |
2,452 |
$619.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
230 |
180 |
$10.50 |
| 81003 |
|
183 |
102 |
$1.79 |
| 1125F |
|
433 |
276 |
$0.00 |
| 1126F |
|
4,050 |
2,637 |
$0.00 |
| 3074F |
|
3,125 |
2,049 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
67 |
$0.00 |
| 1034F |
|
1,423 |
800 |
$0.00 |
| 96127 |
|
4,469 |
2,167 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,511 |
1,490 |
$0.00 |
| 3008F |
|
4,328 |
2,563 |
$0.00 |
| 1035F |
|
249 |
155 |
$0.00 |
| 92551 |
|
260 |
194 |
$0.00 |
| 3075F |
|
624 |
425 |
$0.00 |
| 1036F |
|
1,909 |
1,158 |
$0.00 |
| 85018 |
|
269 |
209 |
$0.00 |
| 3079F |
|
1,145 |
771 |
$0.00 |
| 90686 |
|
37 |
25 |
$0.00 |
| 96161 |
|
104 |
55 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
22 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
24 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
56 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
31 |
25 |
$0.00 |
| 3080F |
|
23 |
13 |
$0.00 |
| 3078F |
|
2,605 |
1,725 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
789 |
507 |
$0.00 |
| 1159F |
|
2,691 |
1,498 |
$0.00 |
| 1160F |
|
2,689 |
1,495 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
311 |
226 |
$0.00 |
| 99177 |
|
301 |
206 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
35 |
$0.00 |
| 3077F |
|
16 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
100 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
229 |
155 |
$0.00 |
| 96160 |
|
76 |
56 |
$0.00 |
| 81002 |
|
36 |
27 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
15 |
$0.00 |
| 82075 |
|
16 |
16 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
16 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
200 |
76 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
18 |
13 |
$0.00 |
| 90461 |
|
19 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
55 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
12 |
$0.00 |