| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
48,860 |
30,992 |
$4.39M |
| H2020 |
Therapeutic behavioral services, per diem |
14,487 |
6,281 |
$1.08M |
| 3074F |
|
7,232 |
4,889 |
$2K |
| 3078F |
|
7,135 |
4,631 |
$2K |
| 0012A |
|
949 |
313 |
$700.32 |
| 0011A |
|
869 |
278 |
$672.72 |
| 3079F |
|
1,295 |
871 |
$615.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,530 |
4,440 |
$225.54 |
| 3044F |
|
2,335 |
1,548 |
$220.00 |
| 3075F |
|
948 |
642 |
$175.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,447 |
2,013 |
$166.34 |
| 0072A |
|
19 |
13 |
$110.34 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,777 |
1,212 |
$100.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,993 |
15,068 |
$66.44 |
| 3077F |
|
312 |
212 |
$65.00 |
| 3080F |
|
80 |
53 |
$45.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,729 |
2,103 |
$24.83 |
| 1159F |
|
15,606 |
10,037 |
$0.00 |
| 1160F |
|
15,278 |
9,848 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
259 |
189 |
$0.00 |
| 84550 |
|
118 |
75 |
$0.00 |
| 96160 |
|
2,523 |
1,537 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,076 |
723 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,814 |
584 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
357 |
264 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
532 |
307 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
412 |
282 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
240 |
132 |
$0.00 |
| 11721 |
|
624 |
409 |
$0.00 |
| 0521F |
|
95 |
59 |
$0.00 |
| 90749 |
|
348 |
305 |
$0.00 |
| 85014 |
|
172 |
143 |
$0.00 |
| 90658 |
|
82 |
66 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
43 |
$0.00 |
| 99173 |
|
263 |
232 |
$0.00 |
| 1158F |
|
595 |
385 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
94 |
84 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
32 |
$0.00 |
| 80061 |
Lipid panel |
55 |
41 |
$0.00 |
| 3288F |
|
53 |
41 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
13 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 4004F |
|
65 |
38 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
42 |
24 |
$0.00 |
| 11056 |
|
33 |
27 |
$0.00 |
| 99408 |
|
39 |
21 |
$0.00 |
| 2028F |
|
17 |
12 |
$0.00 |
| 3008F |
|
15,698 |
10,464 |
$0.00 |
| 1220F |
|
6,147 |
3,094 |
$0.00 |
| 1126F |
|
7,997 |
5,191 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
239 |
160 |
$0.00 |
| 1000F |
|
4,597 |
3,018 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
543 |
413 |
$0.00 |
| 3351F |
|
4,177 |
3,047 |
$0.00 |
| 1125F |
|
1,031 |
690 |
$0.00 |
| 91301 |
|
2,277 |
695 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,481 |
559 |
$0.00 |
| 2001F |
|
1,271 |
822 |
$0.00 |
| 92551 |
|
212 |
185 |
$0.00 |
| 1157F |
|
250 |
164 |
$0.00 |
| 90686 |
|
192 |
105 |
$0.00 |
| 90688 |
|
198 |
129 |
$0.00 |
| 4060F |
|
151 |
74 |
$0.00 |
| 96127 |
|
463 |
202 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
41 |
24 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
220 |
152 |
$0.00 |
| 1034F |
|
51 |
27 |
$0.00 |
| 4000F |
|
112 |
77 |
$0.00 |
| 85018 |
|
187 |
158 |
$0.00 |
| 82962 |
|
74 |
59 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,576 |
1,009 |
$0.00 |
| 1123F |
|
392 |
232 |
$0.00 |
| 1170F |
|
94 |
82 |
$0.00 |
| 90674 |
|
37 |
28 |
$0.00 |
| 3014F |
|
92 |
57 |
$0.00 |
| 81005 |
|
119 |
96 |
$0.00 |
| 90656 |
|
105 |
65 |
$0.00 |
| 90654 |
|
189 |
95 |
$0.00 |
| 1036F |
|
348 |
241 |
$0.00 |
| 1111F |
|
19 |
12 |
$0.00 |
| 81001 |
|
205 |
144 |
$0.00 |
| 4010F |
|
17 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
92 |
71 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
100 |
79 |
$0.00 |
| 11055 |
|
53 |
28 |
$0.00 |
| 80358 |
|
27 |
25 |
$0.00 |
| 86592 |
|
13 |
12 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
20 |
14 |
$0.00 |
| 91307 |
|
36 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
63 |
45 |
$0.00 |
| 3017F |
|
47 |
29 |
$0.00 |
| 97597 |
|
19 |
19 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
42 |
15 |
$0.00 |