| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,452 |
23,653 |
$3.23M |
| H2020 |
Therapeutic behavioral services, per diem |
69 |
30 |
$4K |
| 3074F |
|
13,249 |
10,547 |
$715.00 |
| 3078F |
|
11,866 |
9,486 |
$680.00 |
| 3077F |
|
4,775 |
3,876 |
$415.00 |
| 3079F |
|
7,462 |
6,249 |
$340.00 |
| 3080F |
|
3,480 |
2,931 |
$320.00 |
| 3075F |
|
4,496 |
3,913 |
$245.00 |
| 99213 |
|
22,573 |
17,543 |
$0.03 |
| 99214 |
|
6,430 |
5,331 |
$0.01 |
| 1170F |
|
23,001 |
17,089 |
$0.00 |
| 96372 |
|
1,544 |
1,023 |
$0.00 |
| 3008F |
|
20,921 |
15,873 |
$0.00 |
| 1125F |
|
4,042 |
3,334 |
$0.00 |
| 1126F |
|
11,537 |
9,024 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
739 |
416 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
289 |
246 |
$0.00 |
| 90471 |
|
52 |
34 |
$0.00 |
| 3044F |
|
32 |
26 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 1003F |
|
14,490 |
11,087 |
$0.00 |
| 99203 |
|
471 |
409 |
$0.00 |
| 99212 |
|
24 |
16 |
$0.00 |
| 99396 |
|
682 |
646 |
$0.00 |
| 99307 |
|
1,388 |
954 |
$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 |
1,344 |
1,330 |
$0.00 |
| 99395 |
|
589 |
551 |
$0.00 |
| 1159F |
|
124 |
103 |
$0.00 |
| 87804 |
|
98 |
42 |
$0.00 |
| 99204 |
|
51 |
43 |
$0.00 |
| 1160F |
|
124 |
103 |
$0.00 |
| 90756 |
|
52 |
34 |
$0.00 |
| 87811 |
|
14 |
12 |
$0.00 |
| 90832 |
|
35 |
12 |
$0.00 |