| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,238 |
5,146 |
$793K |
| H2020 |
Therapeutic behavioral services, per diem |
2,710 |
1,282 |
$211K |
| 98960 |
|
97 |
25 |
$2K |
| 3044F |
|
16 |
12 |
$10.00 |
| 82962 |
|
585 |
300 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,604 |
2,699 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
46 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
458 |
232 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
415 |
334 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
670 |
539 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
215 |
141 |
$0.00 |
| 3008F |
|
334 |
234 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
58 |
$0.00 |
| 90686 |
|
32 |
30 |
$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 |
42 |
24 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| 82044 |
|
39 |
29 |
$0.00 |
| 3078F |
|
30 |
28 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
444 |
366 |
$0.00 |
| 81003 |
|
54 |
39 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
26 |
$0.00 |
| 11721 |
|
169 |
149 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
821 |
397 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
241 |
123 |
$0.00 |
| 90756 |
|
45 |
30 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
38 |
$0.00 |