| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
61,857 |
46,501 |
$8.04M |
| H2020 |
Therapeutic behavioral services, per diem |
5,117 |
2,184 |
$208K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,458 |
32,598 |
$103.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,485 |
1,766 |
$84.16 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,855 |
1,552 |
$10.10 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,334 |
9,489 |
$8.97 |
| 81003 |
|
211 |
98 |
$8.46 |
| 90648 |
|
327 |
290 |
$7.39 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
5,009 |
2,249 |
$0.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,799 |
2,275 |
$0.09 |
| 90832 |
Psychotherapy, 30 minutes with patient |
142 |
65 |
$0.01 |
| 90710 |
|
151 |
133 |
$0.00 |
| 90633 |
|
418 |
358 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
47 |
$0.00 |
| 90670 |
|
798 |
712 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,787 |
1,590 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
442 |
378 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
127 |
96 |
$0.00 |
| 90658 |
|
208 |
176 |
$0.00 |
| 99173 |
|
1,021 |
787 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
56 |
45 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
107 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
14 |
13 |
$0.00 |
| 90734 |
|
61 |
51 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
40 |
25 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
27 |
$0.00 |
| 90649 |
|
31 |
27 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,544 |
1,432 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
168 |
122 |
$0.00 |
| 90680 |
|
190 |
176 |
$0.00 |
| 92551 |
|
938 |
775 |
$0.00 |
| 90723 |
|
307 |
270 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
849 |
696 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
62 |
43 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
216 |
77 |
$0.00 |
| 94760 |
|
21 |
16 |
$0.00 |
| 90697 |
|
33 |
24 |
$0.00 |
| 90696 |
|
22 |
16 |
$0.00 |
| 90686 |
|
14 |
12 |
$0.00 |
| 90657 |
|
36 |
34 |
$0.00 |