| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
109,004 |
75,569 |
$9.41M |
| H2020 |
Therapeutic behavioral services, per diem |
21,772 |
13,084 |
$1.20M |
| 3074F |
|
31,454 |
24,742 |
$3K |
| 3078F |
|
26,100 |
20,589 |
$3K |
| 3079F |
|
18,592 |
15,165 |
$2K |
| 3077F |
|
12,609 |
10,216 |
$1K |
| 3080F |
|
9,718 |
7,851 |
$1K |
| 3075F |
|
10,212 |
8,492 |
$785.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125,745 |
88,651 |
$576.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,505 |
5,177 |
$62.65 |
| 30746 |
|
4,005 |
3,727 |
$0.00 |
| 1160F |
|
53,813 |
40,908 |
$0.00 |
| 30786 |
|
5,102 |
4,731 |
$0.00 |
| 30086 |
|
4,031 |
3,638 |
$0.00 |
| 1159F |
|
53,826 |
40,978 |
$0.00 |
| 81002 |
|
432 |
333 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
7,911 |
4,616 |
$0.00 |
| 30776 |
|
2,141 |
2,005 |
$0.00 |
| 99173 |
|
883 |
678 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
656 |
514 |
$0.00 |
| 30756 |
|
977 |
953 |
$0.00 |
| 99307 |
|
3,007 |
2,623 |
$0.00 |
| 90756 |
|
478 |
429 |
$0.00 |
| 30796 |
|
1,737 |
1,657 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
825 |
672 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
833 |
378 |
$0.00 |
| 90734 |
|
162 |
137 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
129 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
398 |
281 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
24 |
$0.00 |
| 90658 |
|
145 |
119 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
79 |
$0.00 |
| 90633 |
|
83 |
74 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
45 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21 |
14 |
$0.00 |
| 3045F |
|
42 |
24 |
$0.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
44 |
25 |
$0.00 |
| 99453 |
|
14 |
13 |
$0.00 |
| 3008F |
|
62,004 |
43,128 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,008 |
1,585 |
$0.00 |
| 1034F |
|
18,147 |
12,775 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
742 |
647 |
$0.00 |
| 11606 |
|
9,311 |
8,392 |
$0.00 |
| 11596 |
|
9,329 |
8,409 |
$0.00 |
| 95115 |
|
2,539 |
2,105 |
$0.00 |
| 96127 |
|
58 |
43 |
$0.00 |
| 4037F |
|
236 |
228 |
$0.00 |
| 1036F |
|
35,399 |
25,348 |
$0.00 |
| 92551 |
|
495 |
403 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,157 |
1,722 |
$0.00 |
| 36416 |
|
315 |
262 |
$0.00 |
| 90651 |
|
196 |
171 |
$0.00 |
| 85018 |
|
417 |
272 |
$0.00 |
| 99451 |
|
146 |
112 |
$0.00 |
| 90688 |
|
141 |
120 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,478 |
1,017 |
$0.00 |
| 30806 |
|
388 |
372 |
$0.00 |
| 3048F |
|
124 |
74 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
391 |
313 |
$0.00 |
| 3044F |
|
99 |
61 |
$0.00 |
| 86317 |
|
33 |
13 |
$0.00 |
| 99457 |
|
99 |
65 |
$0.00 |
| 90686 |
|
394 |
328 |
$0.00 |
| 00000 |
|
112 |
80 |
$0.00 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
47 |
24 |
$0.00 |
| 99454 |
|
125 |
98 |
$0.00 |
| 99441 |
|
1,357 |
821 |
$0.00 |