| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
103,591 |
76,346 |
$9.95M |
| H2020 |
Therapeutic behavioral services, per diem |
12,734 |
7,135 |
$976K |
| 98960 |
|
47 |
17 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,457 |
54,451 |
$288.64 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,929 |
10,667 |
$177.74 |
| 3044F |
|
1,025 |
875 |
$60.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
744 |
596 |
$1.92 |
| 3008F |
|
4,595 |
3,689 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12,079 |
9,000 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,251 |
961 |
$0.00 |
| 1030F |
|
1,684 |
1,382 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
508 |
457 |
$0.00 |
| 81001 |
|
2,309 |
1,724 |
$0.00 |
| 3074F |
|
6,040 |
4,800 |
$0.00 |
| 3017F |
|
646 |
546 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,190 |
2,234 |
$0.00 |
| 3079F |
|
3,833 |
3,131 |
$0.00 |
| 90619 |
|
540 |
431 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,981 |
6,996 |
$0.00 |
| 92551 |
|
2,613 |
2,187 |
$0.00 |
| 3080F |
|
1,121 |
904 |
$0.00 |
| 90651 |
|
1,301 |
1,092 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
15 |
$0.00 |
| 0545F |
|
2,127 |
980 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,359 |
1,219 |
$0.00 |
| 90680 |
|
858 |
699 |
$0.00 |
| 90697 |
|
631 |
507 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,157 |
558 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,130 |
2,001 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
2,836 |
1,303 |
$0.00 |
| 3075F |
|
1,570 |
1,318 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
950 |
744 |
$0.00 |
| 90723 |
|
505 |
442 |
$0.00 |
| 2010F |
|
146 |
105 |
$0.00 |
| 87807 |
|
55 |
51 |
$0.00 |
| 1125F |
|
350 |
281 |
$0.00 |
| 90620 |
|
447 |
387 |
$0.00 |
| 1126F |
|
812 |
648 |
$0.00 |
| 3014F |
|
297 |
251 |
$0.00 |
| 90733 |
|
364 |
292 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,433 |
1,132 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
606 |
421 |
$0.00 |
| 2001F |
|
97 |
67 |
$0.00 |
| 85018 |
|
180 |
163 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
362 |
314 |
$0.00 |
| 90696 |
|
73 |
51 |
$0.00 |
| 90686 |
|
633 |
563 |
$0.00 |
| 90677 |
|
304 |
265 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
238 |
205 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
63 |
59 |
$0.00 |
| 90657 |
|
76 |
50 |
$0.00 |
| 99381 |
|
59 |
32 |
$0.00 |
| 99217 |
|
14 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90656 |
|
60 |
51 |
$0.00 |
| 4016F |
|
16 |
14 |
$0.00 |
| 90688 |
|
18 |
13 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
16 |
12 |
$0.00 |
| 1036F |
|
41 |
31 |
$0.00 |
| 3078F |
|
4,448 |
3,553 |
$0.00 |
| 1159F |
|
1,932 |
1,541 |
$0.00 |
| 3077F |
|
1,792 |
1,408 |
$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 |
4,771 |
4,143 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
972 |
784 |
$0.00 |
| 90670 |
|
1,346 |
1,104 |
$0.00 |
| 90648 |
|
760 |
629 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,959 |
1,537 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,732 |
1,418 |
$0.00 |
| 81025 |
|
1,307 |
996 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,007 |
583 |
$0.00 |
| 1160F |
|
1,934 |
1,543 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
774 |
603 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
708 |
579 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
910 |
791 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,630 |
2,305 |
$0.00 |
| 3725F |
|
2,676 |
2,208 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
409 |
326 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,525 |
2,788 |
$0.00 |
| 3288F |
|
1,632 |
1,281 |
$0.00 |
| 3089F |
|
954 |
476 |
$0.00 |
| 83655 |
|
125 |
121 |
$0.00 |
| 90633 |
|
876 |
754 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,952 |
1,487 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
740 |
560 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,473 |
2,201 |
$0.00 |
| 90461 |
|
517 |
377 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,059 |
799 |
$0.00 |
| 11721 |
|
434 |
345 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,398 |
1,854 |
$0.00 |
| 4004F |
|
454 |
365 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,891 |
2,478 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,177 |
1,564 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,775 |
968 |
$0.00 |
| 99173 |
|
2,754 |
2,335 |
$0.00 |
| 82948 |
|
921 |
680 |
$0.00 |
| 90715 |
|
156 |
123 |
$0.00 |
| 80306 |
|
67 |
51 |
$0.00 |
| 90658 |
|
423 |
294 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
209 |
187 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
186 |
149 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
654 |
493 |
$0.00 |
| 85014 |
|
180 |
163 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
277 |
257 |
$0.00 |
| 90756 |
|
351 |
309 |
$0.00 |
| 4120F |
|
27 |
24 |
$0.00 |
| 11720 |
|
49 |
39 |
$0.00 |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
38 |
25 |
$0.00 |
| 90710 |
|
73 |
51 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
177 |
160 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
44 |
31 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
18 |
15 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
65 |
$0.00 |
| 90473 |
|
17 |
12 |
$0.00 |
| 4133F |
|
16 |
15 |
$0.00 |
| 99188 |
|
33 |
31 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
222 |
194 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
14 |
12 |
$0.00 |
| 90707 |
|
37 |
37 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
54 |
41 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
33 |
24 |
$0.00 |
| 81003 |
|
22 |
14 |
$0.00 |