| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
111,389 |
82,801 |
$17.35M |
| H2020 |
Therapeutic behavioral services, per diem |
15,868 |
7,020 |
$1.80M |
| 99051 |
|
14,029 |
11,089 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,139 |
56,986 |
$4K |
| 0001A |
|
702 |
212 |
$2K |
| 0002A |
|
716 |
233 |
$1K |
| 3078F |
|
38,542 |
28,686 |
$960.35 |
| 3074F |
|
39,995 |
29,793 |
$939.46 |
| 0004A |
|
167 |
65 |
$713.64 |
| 3079F |
|
10,064 |
7,851 |
$360.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
830 |
653 |
$337.10 |
| 1160F |
|
49,906 |
35,833 |
$300.00 |
| 0072A |
|
105 |
29 |
$297.06 |
| 0071A |
|
87 |
26 |
$223.90 |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,497 |
3,386 |
$216.55 |
| 3075F |
|
5,783 |
4,462 |
$215.00 |
| 3077F |
|
3,147 |
2,484 |
$180.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,661 |
1,333 |
$162.22 |
| 1159F |
|
45,248 |
32,243 |
$141.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,928 |
14,099 |
$114.00 |
| 3008F |
|
56,919 |
41,749 |
$111.81 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,561 |
1,288 |
$58.47 |
| 3080F |
|
342 |
282 |
$30.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,370 |
1,211 |
$20.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
177 |
156 |
$17.65 |
| 3044F |
|
34 |
28 |
$10.00 |
| 92551 |
|
4,001 |
3,212 |
$8.27 |
| 99173 |
|
2,839 |
2,199 |
$2.00 |
| 85018 |
|
4,958 |
3,581 |
$1.89 |
| 1036F |
|
25,976 |
19,145 |
$0.00 |
| 00000 |
|
82 |
55 |
$0.00 |
| 1034F |
|
5,993 |
4,434 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
502 |
363 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,064 |
916 |
$0.00 |
| 87430 |
|
3,085 |
2,423 |
$0.00 |
| 87807 |
|
976 |
741 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,661 |
5,625 |
$0.00 |
| 87428 |
|
1,029 |
750 |
$0.00 |
| 96127 |
|
590 |
368 |
$0.00 |
| 90686 |
|
1,072 |
867 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
36 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
79 |
$0.00 |
| 90698 |
|
125 |
114 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
539 |
382 |
$0.00 |
| 90651 |
|
107 |
90 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
149 |
127 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 11596 |
|
28 |
26 |
$0.00 |
| 91307 |
|
218 |
61 |
$0.00 |
| 11606 |
|
27 |
25 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
98 |
41 |
$0.00 |
| 99406 |
|
71 |
60 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
48 |
32 |
$0.00 |
| 90744 |
|
25 |
24 |
$0.00 |
| 99000 |
|
674 |
192 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,362 |
1,844 |
$0.00 |
| 90670 |
|
307 |
285 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
452 |
414 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,865 |
2,525 |
$0.00 |
| 87400 |
|
3,416 |
2,609 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
127 |
102 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,370 |
857 |
$0.00 |
| 81003 |
|
629 |
529 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,864 |
3,703 |
$0.00 |
| 90734 |
|
172 |
148 |
$0.00 |
| 90681 |
|
15 |
14 |
$0.00 |
| 90633 |
|
134 |
92 |
$0.00 |
| 90682 |
|
194 |
140 |
$0.00 |
| 81025 |
|
62 |
29 |
$0.00 |
| 91300 |
|
1,809 |
566 |
$0.00 |
| 30086 |
|
28 |
26 |
$0.00 |
| 80305 |
|
482 |
247 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
112 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
28 |
14 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
22 |
$0.00 |
| 30786 |
|
12 |
12 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |