| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
161,169 |
125,539 |
$21.24M |
| H2020 |
Therapeutic behavioral services, per diem |
6,993 |
2,980 |
$529K |
| 98960 |
|
138 |
53 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,916 |
32,379 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,706 |
64,148 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,576 |
14,249 |
$540.00 |
| 1159F |
|
10,025 |
7,947 |
$412.53 |
| 3044F |
|
745 |
593 |
$280.00 |
| 99050 |
|
12 |
12 |
$276.76 |
| 3077F |
|
4,942 |
4,095 |
$100.00 |
| 3079F |
|
8,151 |
6,906 |
$85.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,884 |
563 |
$82.40 |
| 3074F |
|
15,139 |
12,463 |
$65.00 |
| 90838 |
|
591 |
239 |
$57.02 |
| 3080F |
|
3,620 |
3,032 |
$50.00 |
| 3078F |
|
11,615 |
9,574 |
$40.00 |
| 3075F |
|
2,984 |
2,561 |
$35.00 |
| 3008F |
|
4,114 |
3,065 |
$0.00 |
| 1126F |
|
18,472 |
15,103 |
$0.00 |
| 1125F |
|
4,241 |
3,476 |
$0.00 |
| 82962 |
|
1,422 |
1,160 |
$0.00 |
| 92551 |
|
1,375 |
1,173 |
$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 |
1,966 |
1,713 |
$0.00 |
| 90651 |
|
93 |
80 |
$0.00 |
| 1031F |
|
2,196 |
1,645 |
$0.00 |
| 1111F |
|
1,567 |
1,333 |
$0.00 |
| 90698 |
|
74 |
66 |
$0.00 |
| 90686 |
|
229 |
204 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
800 |
663 |
$0.00 |
| 3351F |
|
2,695 |
1,987 |
$0.00 |
| 4010F |
|
1,029 |
852 |
$0.00 |
| 1170F |
|
103 |
77 |
$0.00 |
| 11606 |
|
161 |
149 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,253 |
717 |
$0.00 |
| 11596 |
|
161 |
149 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
71 |
54 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
504 |
442 |
$0.00 |
| 85018 |
|
604 |
466 |
$0.00 |
| 4000F |
|
366 |
278 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
408 |
363 |
$0.00 |
| 90688 |
|
434 |
371 |
$0.00 |
| 90680 |
|
45 |
37 |
$0.00 |
| 97802 |
|
731 |
293 |
$0.00 |
| 1036F |
|
230 |
202 |
$0.00 |
| 81005 |
|
97 |
68 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
164 |
161 |
$0.00 |
| 90674 |
|
262 |
251 |
$0.00 |
| 81001 |
|
114 |
87 |
$0.00 |
| 20610 |
|
228 |
161 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$0.00 |
| 94760 |
|
116 |
96 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$0.00 |
| 40106 |
|
71 |
65 |
$0.00 |
| 11266 |
|
36 |
34 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
16 |
13 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
168 |
159 |
$0.00 |
| 90744 |
|
16 |
13 |
$0.00 |
| 33516 |
|
36 |
35 |
$0.00 |
| 10316 |
|
32 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 3352F |
|
15 |
12 |
$0.00 |
| 94200 |
|
95 |
86 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
40 |
35 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
32 |
13 |
$0.00 |
| 1033F |
|
2,754 |
1,973 |
$0.00 |
| 1160F |
|
19,088 |
15,722 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
4,000 |
3,757 |
$0.00 |
| 99173 |
|
1,574 |
1,318 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,812 |
1,011 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
202 |
99 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
438 |
395 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,282 |
1,086 |
$0.00 |
| 90670 |
|
267 |
223 |
$0.00 |
| 81003 |
|
783 |
643 |
$0.00 |
| 83037 |
|
1,482 |
1,160 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
906 |
676 |
$0.00 |
| 30786 |
|
53 |
49 |
$0.00 |
| 1032F |
|
352 |
270 |
$0.00 |
| 90633 |
|
168 |
146 |
$0.00 |
| 81025 |
|
696 |
610 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
426 |
360 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
82 |
61 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
627 |
511 |
$0.00 |
| 20600 |
|
620 |
418 |
$0.00 |
| 90746 |
|
106 |
93 |
$0.00 |
| 90734 |
|
138 |
114 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
184 |
163 |
$0.00 |
| 10366 |
|
13 |
12 |
$0.00 |
| 90621 |
|
99 |
71 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
231 |
226 |
$0.00 |
| 4004F |
|
16 |
13 |
$0.00 |
| 87210 |
|
353 |
326 |
$0.00 |
| 90658 |
|
346 |
268 |
$0.00 |
| 90710 |
|
58 |
54 |
$0.00 |
| 30086 |
|
149 |
140 |
$0.00 |
| 90715 |
|
51 |
50 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$0.00 |
| 90836 |
|
491 |
277 |
$0.00 |
| 91322 |
|
17 |
13 |
$0.00 |
| 90687 |
|
38 |
31 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
73 |
31 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
19 |
17 |
$0.00 |
| 30446 |
|
31 |
27 |
$0.00 |
| 30746 |
|
39 |
38 |
$0.00 |