| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,512 |
24,983 |
$4.67M |
| H2020 |
Therapeutic behavioral services, per diem |
15,273 |
6,702 |
$1.15M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
361 |
268 |
$448.05 |
| 90837 |
Psychotherapy, 53 minutes with patient |
710 |
308 |
$207.45 |
| 99177 |
|
4,705 |
3,568 |
$186.05 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,436 |
2,772 |
$127.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,662 |
9,801 |
$122.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
227 |
$94.08 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
5,757 |
2,998 |
$75.86 |
| 92551 |
|
3,936 |
3,261 |
$16.54 |
| 85018 |
|
6,330 |
4,775 |
$3.78 |
| 81003 |
|
248 |
139 |
$1.79 |
| 1126F |
|
11,704 |
8,832 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,322 |
7,881 |
$0.00 |
| 96127 |
|
11,504 |
7,277 |
$0.00 |
| 1036F |
|
3,309 |
2,092 |
$0.00 |
| 3008F |
|
18,641 |
13,880 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,955 |
2,202 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,059 |
1,515 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
295 |
243 |
$0.00 |
| 96161 |
|
1,357 |
1,173 |
$0.00 |
| 90647 |
|
1,790 |
1,463 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,783 |
1,572 |
$0.00 |
| 90680 |
|
835 |
662 |
$0.00 |
| 90686 |
|
2,179 |
1,804 |
$0.00 |
| 90723 |
|
1,846 |
1,501 |
$0.00 |
| 90677 |
|
287 |
261 |
$0.00 |
| 1125F |
|
28 |
26 |
$0.00 |
| 3074F |
|
7,381 |
5,771 |
$0.00 |
| 99000 |
|
834 |
660 |
$0.00 |
| 3044F |
|
198 |
141 |
$0.00 |
| 87807 |
|
107 |
91 |
$0.00 |
| 90651 |
|
54 |
41 |
$0.00 |
| 99381 |
|
45 |
40 |
$0.00 |
| 90716 |
|
31 |
27 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
21 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
12 |
$0.00 |
| 1159F |
|
9,876 |
6,791 |
$0.00 |
| 3078F |
|
7,221 |
5,652 |
$0.00 |
| 96160 |
|
326 |
294 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,951 |
2,518 |
$0.00 |
| 90461 |
|
5,388 |
3,779 |
$0.00 |
| 90671 |
|
416 |
374 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,374 |
5,611 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,214 |
527 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
598 |
540 |
$0.00 |
| 1160F |
|
9,851 |
6,778 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
981 |
595 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,279 |
1,059 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
689 |
595 |
$0.00 |
| 90670 |
|
1,897 |
1,530 |
$0.00 |
| 90633 |
|
599 |
512 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
172 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
256 |
179 |
$0.00 |
| 90681 |
|
132 |
116 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
97 |
$0.00 |
| 81002 |
|
150 |
81 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
145 |
125 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
31 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
305 |
133 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90707 |
|
28 |
25 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |